Individual
JEFFREY BERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 EAGLE RIDGE DR, LAKE WALES, FL 33859-4751
(863) 679-2066
(863) 676-1601
Mailing address
PO BOX 531027, ST PETERSBURG, FL 33747-1027
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2231
FL
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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