NPI 1114352630

Tiffany Jack, HIS

Practitioner Hearing Instrument Specialist Lady Lake, FL

Practice location

Address: 1130 Bichara Blvd, Lady Lake, FL 32159-7716
Phone: (352) 750-4327
Fax: (352) 750-2410
Mailing address: 750 N Commons Dr STE 200, Aurora, IL 60504-7940

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence AS4900 (FL)

Other Hearing Instrument Specialist providers in Florida →

Registry record

NPI: 1114352630
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2013
Record last updated: 13 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.