Healthcare Provider Details

I. General information

NPI: 1326937350
Provider Name (Legal Business Name): CECILIA HOWARD AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 N WILLIAMSON BLVD
DAYTONA BEACH FL
32117-5250
US

IV. Provider business mailing address

1776 N WILLIAMSON BLVD
DAYTONA BEACH FL
32117-5250
US

V. Phone/Fax

Practice location:
  • Phone: 386-323-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2939
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: