Healthcare Provider Details

I. General information

NPI: 1770413841
Provider Name (Legal Business Name): JORDAN REDDING AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7593 W BOYNTON BEACH BLVD STE 100
BOYNTON BEACH FL
33437-6161
US

IV. Provider business mailing address

11123 SW WYNDHAM WAY
PORT SAINT LUCIE FL
34987-2760
US

V. Phone/Fax

Practice location:
  • Phone: 561-292-0109
  • Fax:
Mailing address:
  • Phone: 772-353-6911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: