Organization
AUDIOLOGY DISTRIBUTION
Active
Other names
HearUSA
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN MORALES (CONTRACTING MANAGER)
(561) 478-8770
Entity
Organization
Contact information
Practice address
4024 PARKMEAD, GROVE CITY, OH 43123-3901
(614) 801-9164
(614) 875-8529
Mailing address
10455 RIVERSIDE DR, PALM BEACH GARDENS, FL 33410-4237
(561) 478-8770
(561) 598-7230
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
03102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079935
—
OH
Enumeration date
04/23/2013
Last updated
04/23/2013
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