Provider Demographics
NPI:1760070122
Name:ADVANCED AUDIOLOGY & HEARING AIDS, LLC
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY & HEARING AIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HYO CHANG
Authorized Official - Middle Name:WOO
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:772-236-3256
Mailing Address - Street 1:9121 ONE PUTT PL
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-3097
Mailing Address - Country:US
Mailing Address - Phone:772-882-8968
Mailing Address - Fax:
Practice Address - Street 1:9121 ONE PUTT PL
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-3097
Practice Address - Country:US
Practice Address - Phone:772-236-3256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty