NPI 1053774042 · live from the CMS NPI Registry
Active Life Audiology INC
Audiologist in Boca Raton, FL. National Provider Identifier 1053774042, active.
NPI record
| NPI | 1053774042 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 8903 Glades Rd Ste A14, Boca Raton, FL 33434 |
| Practice phone | 561-221-0450 |
| Mailing address | 8903 Glades Rd Ste A-14a, Boca Raton, FL 33434 |
| Enumerated | March 29, 2016 |
| Last updated | November 9, 2023 |
| Authorized official | Michanne Davidson, Audiologist And Owner |
| Other names | Active Life Hearing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | — |
| Audiologist primary | 231H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.