Individual
TRISHA DAWN FORMICHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
900 NW 13TH ST, SUITE 206, BOCA RATON, FL 33486-2335
(561) 391-3333
(561) 391-5618
Mailing address
900 NW 13TH ST, SUITE 206, BOCA RATON, FL 33486-2335
(561) 391-3333
(561) 391-5618
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1217
FL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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