Individual
MR. RANDALL G JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.A.S.
Contact information
Practice address
3161 E GULF TO LAKE HWY STE C, INVERNESS, FL 34453-3200
(352) 419-7911
(352) 419-7912
Mailing address
3161 E GULF TO LAKE HWY STE C, INVERNESS, FL 34453-3200
(352) 419-7911
(352) 419-7912
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS4800
FL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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