Provider Demographics
NPI:1447656327
Name:ACUTE HEARING AND BALANCE LLC
Entity type:Organization
Organization Name:ACUTE HEARING AND BALANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GIBBONS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:860-941-8582
Mailing Address - Street 1:855 EUCLID AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-0812
Mailing Address - Country:US
Mailing Address - Phone:860-941-8582
Mailing Address - Fax:
Practice Address - Street 1:855 EUCLID AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-0812
Practice Address - Country:US
Practice Address - Phone:860-941-8582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1769237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty