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Individual

JODY C. COSTANZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
8877 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5887
(352) 674-1750
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8905
(352) 674-8919

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01056122
RR MEDICARE
FL
Enumeration date
07/07/2006
Last updated
08/18/2025
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