Organization
ORANGE PARK AUDIOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS FRANKLIN WILLIAMS JR. PHD. (DOCTOR OWNER)
(904) 278-9828
Entity
Organization
Contact information
Practice address
1542 KINGSLEY AVE, SUITE 141, ORANGE PARK, FL 32073-4586
(904) 278-9828
(904) 278-9818
Mailing address
1542 KINGSLEY AVE, SUITE 141, ORANGE PARK, FL 32073-4586
(904) 278-9828
(904) 278-9818
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332S00000X
Hearing Aid Equipment
Primary
AY1067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003911700
—
FL
Enumeration date
12/16/2011
Last updated
12/16/2011
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