Provider Demographics
NPI:1962579508
Name:HEARING PARTNERS OF SOUTH FLORIDA INC
Entity type:Organization
Organization Name:HEARING PARTNERS OF SOUTH FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINCAL AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMET
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:561-638-6530
Mailing Address - Street 1:4731 W ATLANTIC AVE
Mailing Address - Street 2:SUITE B-20
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3897
Mailing Address - Country:US
Mailing Address - Phone:561-638-6530
Mailing Address - Fax:561-638-6531
Practice Address - Street 1:4731 W ATLANTIC AVE
Practice Address - Street 2:SUITE B-20
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3897
Practice Address - Country:US
Practice Address - Phone:561-638-6530
Practice Address - Fax:561-638-6531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY609231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K6114Medicare PIN