Provider Demographics
NPI:1659706422
Name:HELITZER, DANIELA ROBIN (AUD)
Entity Type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:ROBIN
Last Name:HELITZER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:DANIELA
Other - Middle Name:ROBIN
Other - Last Name:WIJNPERLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1800 W WOOLBRIGHT RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6398
Mailing Address - Country:US
Mailing Address - Phone:561-393-9150
Mailing Address - Fax:561-737-5703
Practice Address - Street 1:1800 W WOOLBRIGHT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6398
Practice Address - Country:US
Practice Address - Phone:561-393-9150
Practice Address - Fax:561-737-5703
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1822231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHO911ZMedicare PIN