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Individual

DR. PETRA GRICEL CARDOSO CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
3020 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4338
(863) 686-3189
(863) 682-1348
Mailing address
3020 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4338
(638) 686-3189

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2600
FL
237600000X
Audiologist-Hearing Aid Fitter
AY2600
FL

Other

Enumeration date
07/07/2022
Last updated
07/10/2023
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