Healthcare Provider Details

I. General information

NPI: 1336312438
Provider Name (Legal Business Name): AMY MAE ABBOTT-PIETRIPAOLI AUD, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8451 SHADE AVE SUITE 107
SARASOTA FL
34243-2878
US

IV. Provider business mailing address

8451 SHADE AVE SUITE 107
SARASOTA FL
34243-2878
US

V. Phone/Fax

Practice location:
  • Phone: 941-355-2767
  • Fax: 941-355-0617
Mailing address:
  • Phone: 941-355-2767
  • Fax: 941-355-0617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAY884
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: