Healthcare Provider Details

I. General information

NPI: 1811530223
Provider Name (Legal Business Name): SKORIC HEARING AID CENTER II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W CHESTER PIKE STE 302
HAVERTOWN PA
19083-4500
US

IV. Provider business mailing address

760 US HIGHWAY 1 STE 200
NORTH PALM BEACH FL
33408-4423
US

V. Phone/Fax

Practice location:
  • Phone: 248-961-4329
  • Fax:
Mailing address:
  • Phone: 248-961-4329
  • Fax: 561-360-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State

VIII. Authorized Official

Name: BORO SKORIC
Title or Position: OWNER/FITTER
Credential: AUDIOPROSTOLOGIST,
Phone: 484-454-5229