MEDICARE: SUSANA B AUDI

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	235Z00000X	Speech-Language Pathologist	SA12824	FL

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	:	1952515355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANA B AUDI

Provider Business Mailing Address
First Line	:	5884 WHIPPOORWILL CIR
Second Line	:
City	:	LOXAHATCHEE
State	:	FL
Zip	:	33470-6509
Country	:	US
Telephone Number	:	561-201-7917
Fax Number	:	561-584-5033

Provider Business Practice Location Address
First Line	:	1225 S MILITARY TRL STE D
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-4698
Country	:	US
Telephone Number	:	561-328-8312
Fax Number	:	561-584-5033

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	12/08/2025

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Directions to “ SUSANA B AUDI ” Practice Location

Language	Start Address	Practice Location

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