NPI 1861897753 · live from the CMS NPI Registry
Amplified Resource Group LLC
Audiologist in Ponte Vedra Beach, FL. National Provider Identifier 1861897753, active.
NPI record
| NPI | 1861897753 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 130 Corridor Rd, Ponte Vedra Beach, FL 32082 |
| Practice phone | 612-817-8481 |
| Mailing address | Po Box 2997, Ponte Vedra Beach, FL 32004 |
| Enumerated | November 4, 2014 |
| Last updated | June 23, 2022 |
| Authorized official | Richard Jackson, Managing Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hearing Instrument Specialist | 237700000X | — |
| Hearing Aid Equipment | 332S00000X | — |
| Audiologist primary | 231H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.