Provider Demographics
NPI:1285121970
Name:AUDIOLOGY WITH A HEART
Entity type:Organization
Organization Name:AUDIOLOGY WITH A HEART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHADOFF
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:561-366-7219
Mailing Address - Street 1:2324 S CONGRESS AVE STE 2G
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7668
Mailing Address - Country:US
Mailing Address - Phone:561-366-7219
Mailing Address - Fax:561-366-7250
Practice Address - Street 1:2324 S CONGRESS AVE STE 2G
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-7668
Practice Address - Country:US
Practice Address - Phone:561-366-7219
Practice Address - Fax:561-366-7250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY787231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty