Healthcare Provider Details
I. General information
NPI: 1699419093
Provider Name (Legal Business Name): ALLEGRO HEARING AND BALANCE SOLUTIONS PEDS & SENIOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2022
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
160 SE 6TH AVE STE A1
DELRAY BEACH FL
33483-5264
US
IV. Provider business mailing address
4800 N CLASSICAL BLVD
DELRAY BEACH FL
33445-1221
US
V. Phone/Fax
- Phone: 561-666-3442
- Fax:
- Phone: 561-685-4540
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231HA2500X |
| Taxonomy | Assistive Technology Supplier Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALESSANDRA
S
AVAZIAN
Title or Position: DOCTOR OF AUDIOLOGY
Credential: AUD CCCA
Phone: 561-685-4540