Organization
LIFELINE AUDIOLOGY & HEARING SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDENIE AGATHE RAPHAEL AU.D (DOCTOR OF AUDIOLOGY)
(407) 668-9253
Entity
Organization
Contact information
Practice address
8553 ARGYLE BUSINESS LOOP STE D, JACKSONVILLE, FL 32244-6669
(904) 479-5198
(904) 417-7012
Mailing address
8553 ARGYLE BUSINESS LOOP STE D, JACKSONVILLE, FL 32244-6669
(904) 479-5198
(904) 417-7012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
08/25/2021
Last updated
02/25/2022
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