Organization
AUDIOLOGY & HEARING CARE OF SOUTHWEST FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE WELTON BALLEW AU.D. (AUDIOLOGIST/PRESIDENT)
(239) 462-4021
Entity
Organization
Contact information
Practice address
24810 BURNT PINE DR, SUITE 2, BONITA SPRINGS, FL 34134-1973
(239) 462-4021
Mailing address
24810 BURNT PINE DR, SUITE 2, BONITA SPRINGS, FL 34134-1973
(239) 462-4021
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912172206
NPI INDIVIDUAL-1, 1912172206
FL
Enumeration date
10/14/2014
Last updated
05/21/2015
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