Provider Demographics
NPI:1639498397
Name:AUDIOLOGY INNOVATIONS, INC.
Entity Type:Organization
Organization Name:AUDIOLOGY INNOVATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HARRINGTON-GANS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:727-724-4282
Mailing Address - Street 1:1380 GULF BLVD
Mailing Address - Street 2:UNIT PH7
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33767-2881
Mailing Address - Country:US
Mailing Address - Phone:727-595-5753
Mailing Address - Fax:727-595-5753
Practice Address - Street 1:13127 66TH ST
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-1812
Practice Address - Country:US
Practice Address - Phone:727-724-4282
Practice Address - Fax:727-724-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY218231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty