Provider Demographics
NPI:1710378179
Name:HEARING AIDS OF BROWARD, INC
Entity Type:Organization
Organization Name:HEARING AIDS OF BROWARD, INC
Other - Org Name:ZOUNDS HEARING
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDOVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-895-0546
Mailing Address - Street 1:5338 SW 195TH TER
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-6286
Mailing Address - Country:US
Mailing Address - Phone:954-895-0546
Mailing Address - Fax:
Practice Address - Street 1:11070 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5209
Practice Address - Country:US
Practice Address - Phone:954-639-7940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 2665237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty