Provider Demographics
NPI:1467134528
Name:PHILIUS, FLORENCE (HIS APPRENTICE)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:
Last Name:PHILIUS
Suffix:
Gender:F
Credentials:HIS APPRENTICE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11400 N JOG RD STE 105
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1756
Mailing Address - Country:US
Mailing Address - Phone:561-489-8146
Mailing Address - Fax:561-489-8146
Practice Address - Street 1:11400 N JOG RD STE 105
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-1756
Practice Address - Country:US
Practice Address - Phone:561-489-8146
Practice Address - Fax:561-489-8146
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist