Provider Demographics
NPI:1457432510
Name:ADVANCED AUDIOLOGY OF NEW TAMPA LLC
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY OF NEW TAMPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIANIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:813-973-8400
Mailing Address - Street 1:27511 CASHFORD CIR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6982
Mailing Address - Country:US
Mailing Address - Phone:813-973-8400
Mailing Address - Fax:813-973-8477
Practice Address - Street 1:27511 CASHFORD CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6982
Practice Address - Country:US
Practice Address - Phone:813-973-8400
Practice Address - Fax:813-973-8477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1076231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty