Individual
WALTER WARREN IVEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
1128 N LAURA ST, JACKSONVILLE, FL 32206-4912
(904) 355-3403
(904) 355-4149
Mailing address
1128 N LAURA ST, JACKSONVILLE, FL 32206-4912
(904) 355-3403
(904) 355-4149
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY930
FL
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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