Healthcare Provider Details
I. General information
NPI: 1295894905
Provider Name (Legal Business Name): HEARING AIDS OF JACKSONVILLE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2269 BLANDING BLVD
JACKSONVILLE FL
32210-4100
US
IV. Provider business mailing address
2269 BLANDING BLVD 2269 BLANDING BLVD
JACKSONVILLE FL
32210
US
V. Phone/Fax
- Phone: 904-389-8333
- Fax: 904-389-8331
- Phone: 904-389-8333
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARYLL
ARMONDI
Title or Position: OWNER
Credential: BCHIS,ACA
Phone: 904-389-8333