Organization
MUTTER'S PRECISION HEARING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BOYD MUTTER H.A.S. (OWNER/PRESIDENT)
(772) 871-1222
Entity
Organization
Contact information
Practice address
1680 SW SAINT LUCIE WEST BLVD, SUITE 103, PORT ST LUCIE, FL 34986-1927
(772) 871-1222
Mailing address
1680 SW SAINT LUCIE WEST BLVD, SUITE 103, PORT ST LUCIE, FL 34986-1927
(772) 871-1222
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
AS3398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610205100
—
FL
Enumeration date
07/02/2009
Last updated
07/02/2009
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