Healthcare Provider Details

I. General information

NPI: 1104861053
Provider Name (Legal Business Name): NURIT HAFT AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NURIT NIR

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 05/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 SHERIDAN ST SUITE 202
HOLLYWOOD FL
33021-3567
US

IV. Provider business mailing address

4340 SHERIDAN ST SUITE 202
HOLLYWOOD FL
33021-3567
US

V. Phone/Fax

Practice location:
  • Phone: 954-987-8887
  • Fax: 954-963-1471
Mailing address:
  • Phone: 954-987-8887
  • Fax: 954-963-1471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1192
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: