Provider Demographics
NPI:1275567273
Name:RAHE, FREDERICK A (AUD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:A
Last Name:RAHE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2849 NW 68 LANE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-2041
Mailing Address - Country:US
Mailing Address - Phone:954-242-2716
Mailing Address - Fax:954-473-6235
Practice Address - Street 1:2849 NW 68 LANE
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-2041
Practice Address - Country:US
Practice Address - Phone:954-242-2716
Practice Address - Fax:954-473-6235
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY442231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS0605Medicare ID - Type UnspecifiedMEDICARE NUMBER