Individual
DR. JACK ALLEN LANGWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756-3313
(727) 216-0700
(727) 216-0704
Mailing address
13316 LAKE GEORGE PL, TAMPA, FL 33618-3226
(813) 961-8263
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY195
FL
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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