ISLAND AUDIOLOGY, LLC
Ambulatory Health at Gulf Blvd, Saint Petersburg, FL

License number
Florida AY1366
Category
Ambulatory Health
Type
Hearing and Speech
Owner
Name: DR. HEIDI D ROBERTS-FORDHAM AU.D.
Title: OWNER/AUDIOLOGIST
Phone: (727) 329-8683
Address
Address
13999 Gulf Blvd STE C4, Saint Petersburg, FL 33708
National Provider ID: 1811265051
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ISLAND AUDIOLOGY, LLC at bizstanding.com

Island Audiology LLC

Saint Petersburg, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 19, 2011
Inactive since:
Sep 26, 2014
Addresses:
12424 Capri Cir N, Saint Petersburg, FL 33706
13999 Gulf Blvd, Saint Petersburg, FL 33708
State ID:
L11000082653
Business type:
Florida Limited Liability Company
Managing Members:
David Fordham Manager, Managing Member, inactive,Heidi Roberts-Fordham Managing Member, inactive
Agent:
American Safety Council, Inc,5125 Adanson St SUITE 500, Orlando, FL 32804 (Physical)
EIN:
45-2774064

Ambulatory Health licenses in Florida










Other Doctors licenses in Florida