MEDICARE: PALM BEACH HEARING ASSOCIATES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134705767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH HEARING ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	2401 PGA BLVD STE 128
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3515
Country	:	US
Telephone Number	:	561-500-3277
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 S STATE ROAD 7 STE 122
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-4304
Country	:	US
Telephone Number	:	561-708-6247
Fax Number	:	561-567-0940

Authorized Official
Title or Position	:	AUDIOLOGIST
Name	:	MAYA GURARIY
Credential	:	AUD
Telephone Number	:	561-708-6247

Provider Enumeration Date	:	03/23/2021
Last Update Date	:	03/23/2021

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