Healthcare Provider Details

I. General information

NPI: 1477687887
Provider Name (Legal Business Name): AIMEE LEVIN WEINER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3554 BIMINI AVE
HOLLYWOOD FL
33026-4640
US

IV. Provider business mailing address

3554 BIMINI AVE
HOLLYWOOD FL
33026-4640
US

V. Phone/Fax

Practice location:
  • Phone: 954-709-6182
  • Fax:
Mailing address:
  • Phone: 954-709-6182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY438
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: