Individual
DR. JENNIE MARIE CHILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
885 S PARSONS AVE, BRANDON, FL 33511-6063
(813) 436-5900
(813) 436-5901
Mailing address
885 S PARSONS AVE, BRANDON, FL 33511-6063
(813) 436-5900
(813) 436-5901
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 1629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002573800
—
FL
Enumeration date
07/21/2009
Last updated
03/13/2012
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