Healthcare Provider Details

I. General information

NPI: 1740962729
Provider Name (Legal Business Name): AUDIO CARE & THERAPY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5120 SW 92ND TER
COOPER CITY FL
33328-4219
US

IV. Provider business mailing address

5120 SW 92ND TER
COOPER CITY FL
33328-4219
US

V. Phone/Fax

Practice location:
  • Phone: 305-439-3488
  • Fax: 305-763-8029
Mailing address:
  • Phone: 305-439-3488
  • Fax: 305-763-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MARIA L DI CARLO
Title or Position: PRESIDENT
Credential: MS-SLP-AUD-CCC
Phone: 305-439-3488