Basic Information
| Provider Information | |||||||||
| NPI: | 1669724746 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEVINE | ||||||||
| FirstName: | SARI | ||||||||
| MiddleName: | ROBIN | ||||||||
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| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8181 NW 154TH ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MIAMI LAKES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330165881 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055583724 | ||||||||
| FaxNumber: | 7862600019 | ||||||||
| Practice Location | |||||||||
| Address1: | 21550 BISCAYNE BLVD STE 202A | ||||||||
| Address2: | |||||||||
| City: | AVENTURA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331801258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3057070638 | ||||||||
| FaxNumber: | 7865331672 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2012 | ||||||||
| LastUpdateDate: | 02/17/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AY1766 | FL | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.