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
424 BEECHER RD, GAHANNA, OH 43230-1797
(614) 473-9091
Mailing address
10455 RIVERSIDE DR, PALM BEACH GARDENS, FL 33410-4237
(561) 478-8770
(561) 598-7218
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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