Organization
PORT TACK, LLC.
Active
Other names
Zounds Jersey Shore
Organization subpart
No
Provider details
NPI number
Authorized official
JAY LUTZ (OWNER)
(281) 787-6367
Entity
Organization
Contact information
Practice address
1195 ROUTE 70, UNIT 1007, LAKEWOOD, NJ 08701-5946
(732) 994-7550
Mailing address
PO BOX 1156, KEMAH, TX 77565-1156
(281) 787-6367
(405) 603-2207
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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