MEDICARE: LINDSAY GOLLIHUGH AUD

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	237600000X	Audiologist-Hearing Aid Fitter	AY2815	FL

General Provider Information

NPI Number	:	1245046002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY GOLLIHUGH AUD

Provider Business Mailing Address
First Line	:	5411 N UNIVERSITY DR STE 102
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4637
Country	:	US
Telephone Number	:	954-752-1559
Fax Number	:	954-825-2029

Provider Business Practice Location Address
First Line	:	5411 N UNIVERSITY DR STE 102
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4637
Country	:	US
Telephone Number	:	954-752-1559
Fax Number	:	954-825-2029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2024
Last Update Date	:	12/06/2024

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