Organization
AUDIOLOGICAL SERVICES, INC.
Active
Other names
The Hearing Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ELENA ROMERO AU.D. (PRESIDENT AUDIOLOGIST)
(813) 643-1652
Entity
Organization
Contact information
Practice address
675 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 643-1652
(813) 643-1786
Mailing address
675 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 643-1652
(813) 643-1786
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600266800
—
FL
01
—
6556665
CIGNA NUMBER
FL
01
—
7640640
AETNA NUMBER
FL
01
—
S2353
BCBS OF FL NUMBER
FL
Enumeration date
01/16/2007
Last updated
06/21/2018
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