Healthcare Provider Details
I. General information
NPI: 1861840191
Provider Name (Legal Business Name): SOUTH FLORIDA LEADERS IN AUDIOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2016
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 W HALLANDALE BEACH BLVD STE 107
HALLANDALE BEACH FL
33009-5339
US
IV. Provider business mailing address
701 W HALLANDALE BEACH BLVD STE 107
HALLANDALE BEACH FL
33009-5339
US
V. Phone/Fax
- Phone: 954-404-6477
- Fax: 954-404-6277
- Phone: 954-404-6477
- Fax: 954-404-6277
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIFRAN
RAMAGLIA
Title or Position: PRESIDENT
Credential: AUD
Phone: 954-404-6477