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Organization
STAVERMAN HEARING CENTERS, LLC
Active
Organization
STAVERMAN HEARING CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE STAVERMAN AUD (AUDIOLOGIST / OWNER)
(904) 262-5550
Entity
Organization
Contact information
Practice address
12276 SAN JOSE BLVD STE 710, JACKSONVILLE, FL 32223-8674
(904) 262-5550
Mailing address
204 LAGUNA VILLA BLVD UNIT A16, JACKSONVILLE BEACH, FL 32250-8007
(904) 305-3220
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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