Provider Demographics
NPI:1164703435
Name:A&E AUDIOLOGY, INC.
Entity Type:Organization
Organization Name:A&E AUDIOLOGY, INC.
Other - Org Name:HILLSBOROUGH AUDIOLOGY AND HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:717-627-4327
Mailing Address - Street 1:955 E DEL WEBB BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6670
Mailing Address - Country:US
Mailing Address - Phone:813-634-2781
Mailing Address - Fax:813-634-2132
Practice Address - Street 1:955 E DEL WEBB BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6670
Practice Address - Country:US
Practice Address - Phone:813-634-2781
Practice Address - Fax:813-634-2132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1669231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty