Individual
RENEE LOKENBERG MONTAUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8200 BRYAN DAIRY RD, SUITE 340, LARGO, FL 33777-1363
(727) 398-5728
(727) 398-4918
Mailing address
8200 BRYAN DAIRY RD, SUITE 340, LARGO, FL 33777-1363
(727) 398-5728
(727) 398-4918
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 1094
FL
237600000X
Audiologist-Hearing Aid Fitter
AY1094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33023
MEDICARE GROUP #
FL
01
—
S2412
BC/BS
FL
Enumeration date
08/09/2005
Last updated
07/16/2007
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