Organization Active NPI

Volusia Audiology LLC

  • Audiologist
  • Port Orange, FL
National Provider Identifier
1073050050
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY509 Issued in FL
Legal business name
VOLUSIA AUDIOLOGY LLC
Practice address
5889 S Williamson Blvd
Suite 1317
Port Orange, FL 32128-7134
Phone
(386) 290-0335
NPI assigned
Jan 27, 2017
Last updated
Jan 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy T. Sofiak, M.A.
Title
Audiologist
Phone
(386) 290-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AY509 FL Primary

Addresses

Primary practice location

5889 S Williamson Blvd
Suite 1317
Port Orange, FL 32128-7134

Mailing address

5889 S Williamson Blvd
Suite 1317
Port Orange, FL 32128-7134
Phone (386) 290-0335

National Provider Directory

National Provider Directory

Locations

5889 S Williamson Blvd
Ste 1317
Port Orange, FL 32128
Phone (386) 290-0335

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1073050050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 S WILLIAMSON BLVD",
            "address_2": "SUITE 1317",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287134",
            "telephone_number": "386-290-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5889 S WILLIAMSON BLVD",
            "address_2": "SUITE 1317",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287134",
            "telephone_number": "386-290-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "SOFIAK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "386-290-0335",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.