Organization Name: | AUDREY B GREENWALD MS CCC PA |
NPI Number: | 1013964915 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AUDREY GREENWALD (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 160 Nw 4th St Boca Raton |
State: | FL US |
Postal Code: | 334323826 |
Phone Number: | 5613918444 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | SZ3827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |