Individual
MR. JOSEPH BOYD MUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.A.S.
Contact information
Practice address
1420 SW SAINT LUCIE WEST BLVD STE 101, PORT ST LUCIE, FL 34986-1709
(772) 871-1222
(772) 873-4999
Mailing address
1420 SW SAINT LUCIE WEST BLVD STE 101, PORT ST LUCIE, FL 34986-1709
(772) 871-1222
(772) 873-4999
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS3398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610205100
—
FL
Enumeration date
06/09/2008
Last updated
07/21/2022
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