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Organization

PARKSIDE AUDIOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN HERRMANN DECELLES AU.D. (OWNER)
(813) 751-2263
Entity
Organization

Contact information

Practice address
3825 HENDERSON BLVD STE 600, TAMPA, FL 33629-5032
(813) 391-4333
Mailing address
3825 HENDERSON BLVD STE 600, TAMPA, FL 33629-5032
(813) 751-2263

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
261QH0700X
Hearing and Speech Clinic/Center
332S00000X
Hearing Aid Equipment

Other

Enumeration date
03/09/2022
Last updated
08/04/2025
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