Organization
ACTIVE LIFE AUDIOLOGY INC
Active
Other names
Active Life Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MICHANNE ALEXIS DAVIDSON AU.D. (AUDIOLOGIST AND OWNER)
(561) 221-0450
Entity
Organization
Contact information
Practice address
8903 GLADES RD STE A14, BOCA RATON, FL 33434-4023
(561) 221-0450
(954) 827-0591
Mailing address
8903 GLADES RD STE A-14A, BOCA RATON, FL 33434-4074
(561) 221-0450
(561) 423-4084
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023122400
—
FL
Enumeration date
03/29/2016
Last updated
11/09/2023
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