Provider Demographics
NPI:1104861053
Name:HAFT, NURIT (AUD)
Entity type:Individual
Prefix:DR
First Name:NURIT
Middle Name:
Last Name:HAFT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:NURIT
Other - Middle Name:
Other - Last Name:NIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4340 SHERIDAN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3567
Mailing Address - Country:US
Mailing Address - Phone:954-987-8887
Mailing Address - Fax:954-963-1471
Practice Address - Street 1:4340 SHERIDAN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3567
Practice Address - Country:US
Practice Address - Phone:954-987-8887
Practice Address - Fax:954-963-1471
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1192231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL600426100Medicaid
FL4899720OtherGHI
FL4899720OtherGHI