MEDICARE: DR. JON C DOUGLAS AUD

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	231H00000X	Audiologist	500-156	WI
2	231H00000X	Audiologist	AY2811	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	60633	OTHER	WI	DEAN HEALTH INSURANCE
3	E5VHB	OTHER	FL	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922071083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JON C DOUGLAS AUD

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-0001
Country	:	US
Telephone Number	:	813-821-8038
Fax Number	:	813-974-0483

Provider Business Practice Location Address
First Line	:	4202 E FOWLER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33620-8000
Country	:	US
Telephone Number	:	813-821-8038
Fax Number	:	813-974-0483

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	08/20/2024

Similar Medicare Providers

1528372307 — DR. MICHELLE ARNOLD AU.D., CCC-A
Practice Location Address:

4202 E FOWLER AVE
TAMPA, FL
33620-8000

Practice Phone: 813-974-8804
Practice Fax:

1023303302 — AMY R. DAVIS SLP
Practice Location Address:

4202 E FOWLER AVE , PCD1017
TAMPA, FL
33620-8000

Practice Phone: 813-974-9844
Practice Fax:

1326383969 — DR. ARIAN ORIENTE MARQUEZ PSY.D.
Practice Location Address:

4202 E FOWLER AVE , SVC 2124
TAMPA, FL
33620-8000

Practice Phone: 813-974-6876
Practice Fax:

1497185946 — MARIA ROSA BREA SLP, PHD
Practice Location Address:

4202 E FOWLER AVE , PCD1017
TAMPA, FL
33620-8000

Practice Phone: 813-974-9844
Practice Fax:

1902211691 — SALVADOR LOPEZ ATC, LAT
Practice Location Address:

4202 E FOWLER AVE , ATH 100
TAMPA, FL
33620-8000

Practice Phone: 813-974-0669
Practice Fax:

1831506393 — JESSICA ZYTNICK ATC, LAT
Practice Location Address:

4202 E FOWLER AVE
TAMPA, FL
33620-8000

Practice Phone: 813-974-2011
Practice Fax:

Directions to “ DR. JON C DOUGLAS AUD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.