Individual
IRENA RENATA RDZANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 TRAIL BLVD, STE 16, NAPLES, FL 34108-2860
(239) 566-2727
(239) 463-7149
Mailing address
190 ESTRELLITA DR, FT MYERS BEACH, FL 33931-5204
(239) 463-7149
(239) 463-7149
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AY77
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J0594
BLUE CROSS BLUE SHIELD
FL
01
—
S0792
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/17/2005
Last updated
07/08/2007
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