Amplified Resource Group LLC
Audiologist in Ponte Vedra Beach, FL. Organization (NPI-2).
NPI number1861897753
StatusActive
Last updated in NPPESJun 23, 2022
Details
- NPI
- 1861897753
- Entity type
- Organization (NPI-2)
- Legal business name
- Amplified Resource Group LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2014
- Certification date
- Jun 23, 2022
- Last updated
- Jun 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | – | – | Yes |
| 237700000X | Hearing Instrument Specialist | – | – | |
| 332S00000X | Hearing Aid Equipment | – | – |
Practice location
130 Corridor RdPonte Vedra Beach, FL 32082-3225
Phone 612-817-8481
Mailing address
Po Box 2997Ponte Vedra Beach, FL 32004-2997
Authorized official
Richard Jackson
Managing Director
6128178481
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