Provider Demographics
NPI:1891771218
Name:SCHUR, KIM (AUD)
Entity Type:Individual
Prefix:MRS
First Name:KIM
Middle Name:
Last Name:SCHUR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 WATER OAK CIR
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-3040
Mailing Address - Country:US
Mailing Address - Phone:954-433-4432
Mailing Address - Fax:954-485-6336
Practice Address - Street 1:2800 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1370
Practice Address - Country:US
Practice Address - Phone:954-731-7200
Practice Address - Fax:954-485-6336
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1112231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE6231YMedicare ID - Type UnspecifiedAUDIOLOGY