Provider Demographics
NPI:1265731103
Name:SOUTH MIAMI AUDIOLOGY CONSULTANTS, INC
Entity type:Organization
Organization Name:SOUTH MIAMI AUDIOLOGY CONSULTANTS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:305-663-0505
Mailing Address - Street 1:7000 SW 62ND AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4716
Mailing Address - Country:US
Mailing Address - Phone:305-663-0505
Mailing Address - Fax:305-663-0170
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-663-0505
Practice Address - Fax:305-663-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY15231H00000X
FLAY72231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty