Healthcare Provider Details
I. General information
NPI: 1336013226
Provider Name (Legal Business Name): AVA RHODES
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3000 IMMOKALEE RD STE 8
NAPLES FL
34110-1444
US
IV. Provider business mailing address
750 N COMMONS DR STE 200
AURORA IL
60504-8025
US
V. Phone/Fax
- Phone: 239-593-5327
- Fax:
- Phone: 630-303-5380
- Fax: 630-303-5385
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | AY2885 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AY2885 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: