Provider Demographics
NPI:1023588092
Name:ELWICK AUDIOLOGY & HEARING AID SERVICES, INC
Entity type:Organization
Organization Name:ELWICK AUDIOLOGY & HEARING AID SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELWICK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:305-595-1530
Mailing Address - Street 1:9900 SW 107TH AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-595-1530
Mailing Address - Fax:305-595-1574
Practice Address - Street 1:9900 SW 107TH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-595-1530
Practice Address - Fax:305-595-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty