NPI 1801372644 · live from the CMS NPI Registry
Jordan Baldasare, Au.D.
Audiologist in Pembroke Pines, FL. National Provider Identifier 1801372644, active.
NPI record
| NPI | 1801372644 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 12193 Pembroke Rd Ste 313, Pembroke Pines, FL 33025 |
| Practice phone | 954-435-8820 |
| Mailing address | 3801 W State Road 84 Unit 304, Davie, FL 33312 |
| Enumerated | July 16, 2018 |
| Last updated | July 16, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | AY2206 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.