Dr. Paxton-Ouellette B La Forge, Au.D.
Audiologist in Ponte Vedra Beach, FL. Individual provider (NPI-1).
NPI number1487540019
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1487540019
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paxton-Ouellette B La Forge
- Credential
- Au.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2025
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | AY2937 | FL | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | AY2937 | FL |
Practice location
166 A1a N Ste 100Ponte Vedra Beach, FL 32082-5701
Phone 904-501-2280 · Fax 855-527-7300
Mailing address
166 A1a N Ste 100Ponte Vedra Beach, FL 32082-5701
Phone 904-501-2280 · Fax 855-527-7300
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