Organization Active NPI

Audiology Associates of South Florida Inc.

  • Audiologist
  • Coral Springs, FL
National Provider Identifier
1952471732
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY24 Issued in FL
Legal business name
AUDIOLOGY ASSOCIATES OF SOUTH FLORIDA INC.
Practice address
5411 N University Dr
Suite 102
Coral Springs, FL 33067-4637
Phone
(954) 752-1559
Fax
(954) 752-1560
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Roberta Randel, AUDNPI 1326141466
Title
Director
Phone
(954) 752-1559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AY24 FL Primary

Addresses

Primary practice location

5411 N University Dr
Suite 102
Coral Springs, FL 33067-4637

Mailing address

5411 N University Dr
Suite 102
Coral Springs, FL 33067-4637
Phone (954) 752-1559

Other identifiers 1

IdentifierTypeStateIssuer
600530600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090519000507 FL Part B Supplier - Clinic/Group Practice 6002965258 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

5411 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (954) 752-1559

7152 N Nob Hill Rd
Tamarac, FL 33321
Phone (954) 721-5580

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1952471732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674637",
            "telephone_number": "954-752-1559",
            "fax_number": "954-752-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674637",
            "telephone_number": "954-752-1559",
            "fax_number": "954-752-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY ASSOCIATES OF SOUTH FLORIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "RANDEL",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-752-1559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600530600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.