Individual
MR. ANTHONY JAMES JELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MJ.S., CCC-A
Contact information
Practice address
5491 N UNIVERSITY DR, SUITE 101, CORAL SPRINGS, FL 33067-4644
(954) 227-2779
(954) 345-8166
Mailing address
5491 N UNIVERSITY DR, SUITE 101, CORAL SPRINGS, FL 33067-4644
(954) 227-2779
(954) 345-8166
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY00672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600053300
—
FL
Enumeration date
07/15/2006
Last updated
07/08/2007
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