Healthcare Provider Details

I. General information

NPI: 1336314103
Provider Name (Legal Business Name): HEARING AIDS OF JACKSONVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 04/23/2008
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
JACKSONVILLE FL
32210-4100
US

V. Phone/Fax

Practice location:
  • Phone: 904-389-8333
  • Fax: 904-389-8331
Mailing address:
  • Phone: 904-389-8333
  • Fax: 904-389-8331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS2198
License Number StateFL

VIII. Authorized Official

Name: DARYLL LINN ARMONDI
Title or Position: OWNER/AUDIOPROTHOLOGIST
Credential: BC-HIS, ACA
Phone: 904-389-8333