Provider Demographics
NPI:1316662406
Name:PALM BEACH HEARING ASSOCIATES, PLLC
Entity type:Organization
Organization Name:PALM BEACH HEARING ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GURARIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-500-3277
Mailing Address - Street 1:2401 PGA BLVD STE 128
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3515
Mailing Address - Country:US
Mailing Address - Phone:561-500-3277
Mailing Address - Fax:
Practice Address - Street 1:4100 S HOSPITAL DR STE 207
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2837
Practice Address - Country:US
Practice Address - Phone:786-761-7262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty