Provider Demographics
NPI:1851698690
Name:ADVANCED AUDIOLOGY PLLC
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIFRAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAMAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD,
Authorized Official - Phone:954-345-5818
Mailing Address - Street 1:9160B WILES RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1999
Mailing Address - Country:US
Mailing Address - Phone:954-345-5818
Mailing Address - Fax:954-345-7940
Practice Address - Street 1:9160B WILES RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-1999
Practice Address - Country:US
Practice Address - Phone:954-345-5818
Practice Address - Fax:954-345-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY-600231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL600501200Medicaid
FLBX830ZMedicare Oscar/Certification
FL600501200Medicaid