Healthcare Provider Details

I. General information

NPI: 1053988725
Provider Name (Legal Business Name): ARIELLE RICHARD AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HAND AVE STE M
ORMOND BEACH FL
32174-8196
US

IV. Provider business mailing address

3840 S NOVA RD STE B1
PORT ORANGE FL
32127-4244
US

V. Phone/Fax

Practice location:
  • Phone: 386-673-5280
  • Fax: 386-673-8618
Mailing address:
  • Phone: 386-756-8225
  • Fax: 386-767-0742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAY2474
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY2474
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: