CALLI KEENAN FODOR


Address: 1301 2nd Ave Sw, Largo, FL 33770-3120
Phone: 7273410551

CALLI KEENAN FODOR (NPI# 1205477072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205477072
Entity Type Individual
Full Name CALLI KEENAN FODOR
Credential AUD
Practice Address 1301 2nd Ave Sw
Largo
FL 33770-3120
Mailing Address 10002 Princess Palm Ave Ste 332
Tampa
FL 33619-8327
Practice Telephone 7273410551
Practice Fax Number 7273410332
Mailing Telephone 8135717184
Mailing Fax Number 8136544695
Enumeration Date 2019-10-03
Last Update Date 2019-10-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist AY2309 FL Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6827 1st Ave S Ste 100, St Petersburg, FL 337071242 7273410551 7273410332

Office Location

Street Address 1301 2ND AVE SW
City LARGO
State FL
Zip Code 33770-3120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407851314 Diagnostic Clinic Medical Group Inc. Allergy & Immunology 1301 2nd Ave Sw, Largo, FL 33770-3120 2005-06-16
1952924979 Jordan Ashley Bennett Advanced Practice Midwife 1301 2nd Ave Sw, Largo, FL 33770-3120 2020-05-26
1093283145 Patricia Hanratty Nurse Practitioner 1301 2nd Ave Sw, Largo, FL 33770-2298 2018-11-07
1649786781 Erica Anne Martin Physician Assistant 1301 2nd Ave Sw, Largo, FL 33770-2298 2017-12-27
1144736927 Mladen Nikolic Nurse Practitioner 1301 2nd Ave Sw, Largo, FL 33770 2017-12-15
1922524958 Kimmy Nhut Nguyen Physician Assistant 1301 2nd Ave Sw, Largo, FL 33770 2017-08-22
1164959920 Orthopaedic Associates of West Florida, Pa Clinic/Center 1301 2nd Ave Sw, Fl 6, Largo, FL 33770-3120 2017-05-11
1932644580 Janet A Mccormick Nurse Practitioner 1301 2nd Ave Sw, Largo, FL 33770-2298 2017-01-05
1619323417 Optic Shoppe Dme Durable Medical Equipment & Medical Supplies 1301 2nd Ave Sw, Largo, FL 33770-3120 2016-05-11
1316303308 Optic Shoppe Eyewear Supplier (Equipment, not the service) 1301 2nd Ave Sw, Largo, FL 33770-3120 2016-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467005041 Chelsey Lyn Shepos Optometrist 1030 West Bay Dr, Suite 200, Largo, FL 33770 2019-07-22
1407353626 Michael E Ibrahim Pharmacist 1290 West Bay Drive, Largo, FL 33770 2018-04-13
1518413384 Payton Kuhlenbeck Anesthesiology 210 14th Street Sw, Largo, FL 33770 2016-08-31
1639536865 Ryan Boice Physical Therapy Assistant 118 West Bay Drive, Suite 111, Largo, FL 33770 2016-01-19
1508238858 Alignment Healthcare Florida LLC Clinic/Center 1301 2nd Ave., Sw, Largo, FL 33770 2015-10-27
1891161808 Jessica Nicole Mcglone Nurse Practitioner 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 2015-08-12
1033598602 Demetria Anderson Counselor 1301 Seminole Blvd Ste 103, Largo, FL 33770 2015-05-28
1962881821 Building Blocks Therapy, Pllc Community/Behavioral Health 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 2015-05-26
1457765968 Summer Moon Dermatology 115 Highland Ave N, Largo, FL 33770 2014-06-12
1578982393 Lauren Elizabeth Grandpre Emergency Medicine 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 2014-04-09
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780037416 Spencer Lee Reeder Audiologist 8200 Bryan Dairy Rd Ste 340, Largo, FL 33777-1365 2016-07-18
1649623737 Darius Zamani Audiologist 3665 E Bay Dr Ste 204, Box #174, Largo, FL 33771-1989 2016-07-13
1023489374 Medrx, Inc Audiologist 1200 Starkey Rd, Ste105b, Largo, FL 33771-3167 2015-10-13
1013358126 Amanda Kluzynski Audiologist 1200 Starkey Rd Ste 105b, Largo, FL 33771-3167 2013-07-17
1639498397 Audiology Innovations, Inc. Audiologist 13127 66th St, Largo, FL 33773-1812 2010-05-20
1861666315 Kelly Jo Dyson Audiologist 11200 Seminole Blvd Ste 301, Largo, FL 33778-3240 2008-04-16
1831710656 Megan Marie Farina Audiologist 8200 Bryan Dairy Rd Ste 340, Largo, FL 33777-1365 2020-05-04
1871150003 Alyssa Robyn Steinweis Audiologist 8200 Bryan Dairy Rd Ste 340, Largo, FL 33777-1365 2019-05-22
1386108611 Connect Hearing, Inc. Audiologist 861 W Bay Dr, Largo, FL 33770-3221 2019-01-31
1215410519 Sarah Albelaikhi Audiologist 8200 Bryan Dairy Rd Ste 340, Largo, FL 33777-1365 2018-09-12
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Competitor

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City LARGO
Zip Code 33770

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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