Organization
AUDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA
Active
Other names
Audiology Consultants of Southwest Florida
Organization subpart
No
Provider details
NPI number
Authorized official
JACK (JOHN) H CHIPPENDALE CCC-A (OWNER/AUDIOLOGIST)
(239) 481-2088
Entity
Organization
Contact information
Practice address
15721 NEW HAMPSHIRE CT, FORT MYERS, FL 33908
(239) 481-2088
(239) 481-2095
Mailing address
15721 NEW HAMPSHIRE CT, FORT MYERS, FL 33908
(239) 481-2088
(239) 481-2095
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AY274
FL
237600000X
Audiologist-Hearing Aid Fitter
Primary
AY274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0637
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/21/2010
Last updated
07/21/2020
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