Provider Demographics
NPI:1588642995
Name:ABEL AUDIOLOGY ASSOC & MUSICIANS HEARING CENTER
Entity Type:Organization
Organization Name:ABEL AUDIOLOGY ASSOC & MUSICIANS HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOODMAN-LIEBESKIND
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:954-435-9779
Mailing Address - Street 1:10081 PINES BLVD
Mailing Address - Street 2:SUITE E 1
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:954-435-9779
Mailing Address - Fax:954-450-5375
Practice Address - Street 1:10081 PINES BLVD
Practice Address - Street 2:SUITE E 1
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024
Practice Address - Country:US
Practice Address - Phone:954-435-9779
Practice Address - Fax:954-450-5375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1075231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1562AMedicare UPIN