Individual
STEPHANIE KLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1330 BUDINGER AVE STE 206, SAINT CLOUD, FL 34769-4123
(407) 992-9229
Mailing address
1330 BUDINGER AVE, SAINT CLOUD, FL 34769-4137
(407) 992-9229
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
81356
TX
231H00000X
Audiologist
Primary
AY2762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548286172
—
TX
Enumeration date
06/25/2021
Last updated
01/03/2024
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