Organization
JC AUDIOLOGY INC
Active
Organization
JC AUDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES R REESE MBA (PRESIDENT)
(813) 949-1331
Entity
Organization
Contact information
Practice address
1541 DALE MABRY HWY, SUITE 201, LUTZ, FL 33548-3017
(813) 949-1331
(813) 949-6132
Mailing address
1541 DALE MABRY HWY, SUITE 201, LUTZ, FL 33548-3017
(813) 949-1331
(813) 949-6132
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AY902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600472500
—
FL
01
—
S9144
BCBS
FL
Enumeration date
05/25/2007
Last updated
07/16/2009
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