Julie Pruitt, FLLHAS NBS HIS A5262

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS2626 Issued in FL

Practice address

1808 West International Speedway Blvd
Suite 305
Daytona Beach, FL 32114

Phone

(386) 226-0007

Fax

(386) 226-0007

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida State Hearing AIDS Inc

  • Hearing Instrument Specialist
  • Daytona Beach, FL
  • NPI 1275721508
  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578695946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 WEST INTERNATIONAL SPEEDWAY BLVD",
            "address_2": "SUITE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-226-0007",
            "fax_number": "386-226-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 WEST INTERNATIONAL SPEEDWAY BLVD",
            "address_2": "SUITE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-226-0007",
            "fax_number": "386-226-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "FLLHAS NBS HIS A5262",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Prokopovich, LMHC
• Prompt Care, PL
• Katherine Proppe, MHS, LAT, ATC
• John Hunter Protheroe, PA
• Michelle Protko, LMHC
• Tara Pruna, M.A., CCC-SLP
• Psychiatric Services of Daytona, PLCC
• Publix Super Markets, Inc. (Publix Pharmacy #0814)
• Publix Super Markets, Inc. (Publix Pharmacy #1664)
• Publix Super Markets, Inc. (Publix Pharmacy #1837)

• Hearing Instrument Specialist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.