Individual
MRS. JODI S GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A, FAAA
Contact information
Practice address
13241 BARTRAM PARK BLVD, SUITE 801, JACKSONVILLE, FL 32258-5212
(904) 446-9191
(904) 446-9189
Mailing address
13241 BARTRAM PARK BLVD, SUITE 801, JACKSONVILLE, FL 32258-5212
(904) 446-9191
(904) 446-9189
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1069
FL
Other
Enumeration date
05/15/2007
Last updated
02/18/2014
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