Provider Demographics
NPI:1699419093
Name:ALLEGRO HEARING AND BALANCE SOLUTIONS PEDS & SENIOR LLC
Entity type:Organization
Organization Name:ALLEGRO HEARING AND BALANCE SOLUTIONS PEDS & SENIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:ALESSANDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AVAZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD CCCA
Authorized Official - Phone:561-685-4540
Mailing Address - Street 1:4800 N CLASSICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-1221
Mailing Address - Country:US
Mailing Address - Phone:561-685-4540
Mailing Address - Fax:
Practice Address - Street 1:160 SE 6TH AVE STE A1
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5264
Practice Address - Country:US
Practice Address - Phone:561-666-3442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2174OtherFLORIDA HEALTH LICENSE