Provider Demographics
NPI:1619269354
Name:UNIVERSITY HEARING SYSTEMS
Entity type:Organization
Organization Name:UNIVERSITY HEARING SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT-PIETRIPAOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-355-2767
Mailing Address - Street 1:8451 SHADE AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2878
Mailing Address - Country:US
Mailing Address - Phone:941-355-2767
Mailing Address - Fax:941-355-0617
Practice Address - Street 1:8451 SHADE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2878
Practice Address - Country:US
Practice Address - Phone:941-355-2767
Practice Address - Fax:941-355-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY884332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment