Organization
AMPLIFIED RESOURCE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JACKSON (MANAGING DIRECTOR)
(612) 817-8481
Entity
Organization
Contact information
Practice address
130 CORRIDOR RD, PONTE VEDRA BEACH, FL 32082-3225
(612) 817-8481
Mailing address
PO BOX 2997, PONTE VEDRA BEACH, FL 32004-2997
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
11/04/2014
Last updated
06/23/2022
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