Healthcare Provider Details

I. General information

NPI: 1285878785
Provider Name (Legal Business Name): NATIONAL BALANCE & HEARING CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2009
Last Update Date: 04/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16378 NE 26TH AVE
NORTH MIAMI BEACH FL
33160-4004
US

IV. Provider business mailing address

16378 NE 26TH AVE
NORTH MIAMI BEACH FL
33160-4004
US

V. Phone/Fax

Practice location:
  • Phone: 305-940-0040
  • Fax: 305-940-0094
Mailing address:
  • Phone: 305-940-0040
  • Fax: 305-940-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1075
License Number StateFL

VIII. Authorized Official

Name: DR. PAULA J GOODMAN LIEBESKIND
Title or Position: DIRECTOR
Credential: AUD
Phone: 305-940-0040