Individual
MR. EDMUND DEFOREST SUGZDINIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEARING INSTRUMENT S
Contact information
Practice address
439 NORTH ST STE D, GREEN COVE SPRINGS, FL 32043-2901
(904) 805-3869
(904) 805-3869
Mailing address
1920 QUAKER RIDGE DR, GREEN COVE SPRINGS, FL 32043-8089
(302) 229-6883
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS9491
FL
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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