Provider Demographics
NPI:1164509741
Name:ADVANCED AUDIO-MEDICAL, INC.
Entity Type:Organization
Organization Name:ADVANCED AUDIO-MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:SCHUH
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC-A
Authorized Official - Phone:904-268-8449
Mailing Address - Street 1:2815 VILLAGE GROVE DR S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-6253
Mailing Address - Country:US
Mailing Address - Phone:904-268-8449
Mailing Address - Fax:904-268-8449
Practice Address - Street 1:2815 VILLAGE GROVE DR S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-6253
Practice Address - Country:US
Practice Address - Phone:904-268-8449
Practice Address - Fax:904-268-8449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY233231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty