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NPI Code Detail

MEDICARE: DR. ROSETTE DITKOWSKY SIMON AU.D., CCC-A

MEDICARE:  DR. ROSETTE DITKOWSKY SIMON  AU.D., CCC-A
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
1231H00000XAudiologistAY1209FL

Other Identifiers

General Provider Information

NPI Number : 1386816197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSETTE DITKOWSKY SIMON AU.D., CCC-A
Provider Business Mailing Address
First Line : 9900 SW 107TH AVE STE 202
Second Line :
City : MIAMI
State : FL
Zip : 33176-2809
Country : US
Telephone Number : 305-595-1530
Fax Number : 305-595-1574
Provider Business Practice Location Address
First Line : 9900 SW 107TH AVE STE 202
Second Line :
City : MIAMI
State : FL
Zip : 33176-2809
Country : US
Telephone Number : 305-595-1530
Fax Number : 305-595-1574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2008
Last Update Date : 11/23/2021

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Directions to “ DR. ROSETTE DITKOWSKY SIMON AU.D., CCC-A” Practice Location

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