MEDICARE: JODIE TUZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA4024	FL

General Provider Information

NPI Number	:	1477052892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODIE TUZ

Provider Business Mailing Address
First Line	:	6664 ASHBURN RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7316
Country	:	US
Telephone Number	:	561-602-5802
Fax Number	:

Provider Business Practice Location Address
First Line	:	6664 ASHBURN RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7316
Country	:	US
Telephone Number	:	561-602-5802
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	02/12/2018

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Directions to “ JODIE TUZ ” Practice Location

Language	Start Address	Practice Location

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