MR. JOSEPH PEZAK JR. (NPI# 1912373663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912373663 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH PEZAK JR. |
| Practice Address |
1013 A1a Beach Blvd St Augustine FL 32080-6724 |
| Practice Telephone | 9044600931 |
| Practice Fax Number | 9044600932 |
| Mailing Telephone | 9044600931 |
| Mailing Fax Number | 9044600932 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237700000X | Hearing Instrument Specialist | F03244 | PA | Speech, Language and Hearing Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | AS4229 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
1013 A1A BEACH BLVD |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447587704 | Beltone Northern Florida | Hearing Instrument Specialist | 1013 A1a Beach Blvd, St Augustine, FL 32080-6724 | 2009-11-06 |
| 1033625504 | Elizabeth Ashley Fettinger | Hearing Instrument Specialist | 1013 A1a Beach Blvd, St Augustine, FL 32080-6724 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030284 | Thomas Martin Bradley | Hearing Instrument Specialist | 909 Colonial Dr, St Augustine, FL 32086-7966 | 2019-05-29 |
| 1063784353 | Mefl, LLC | Hearing Instrument Specialist | 1943 A1a S, St Augustine, FL 32080-6509 | 2012-02-01 |
| 1447587704 | Beltone Northern Florida | Hearing Instrument Specialist | 1013 A1a Beach Blvd, St Augustine, FL 32080-6724 | 2009-11-06 |
| 1033625504 | Elizabeth Ashley Fettinger | Hearing Instrument Specialist | 1013 A1a Beach Blvd, St Augustine, FL 32080-6724 | 2017-12-20 |
| 1053761635 | Mary Leckey | Hearing Instrument Specialist | 1740 Tree Blvd, Suite 114, St Augustine, FL 32084-5720 | 2016-06-15 |
| 1033528872 | Michael Hines | Hearing Instrument Specialist | 1301 Plantation Island Dr S, Suite 401b, St Augustine, FL 32080-3108 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740521 | Gary Mcfadyen | Hearing Instrument Specialist | 395 E. Point Washington, Santa Rosa Beach, FL 32459 | 2020-11-04 |
| 1447859822 | Ask Mobile Hearing Aid Specialists | Hearing Instrument Specialist | 17035 Gulf Blvd, North Redington Beach, FL 33708-1496 | 2020-10-18 |
| 1073111480 | Matthew Joseph Jones | Hearing Instrument Specialist | 2536 Enterprise Rd Ste 20, Orange City, FL 32763-7939 | 2020-10-16 |
| 1831706803 | Iris Jeannette Lazo | Hearing Instrument Specialist | 1008 Willa Springs Dr Ste 110, Winter Springs, FL 32708-5205 | 2020-09-24 |
| 1679183628 | Krysta Siliris | Hearing Instrument Specialist | 3146 Little Rd, Trinity, FL 34655-1864 | 2020-08-05 |
| 1063020915 | April Christine Gonzalez | Hearing Instrument Specialist | 1500 Beach Blvd Ste 314, Jacksonville, FL 32250-2621 | 2020-07-16 |
| 1669097531 | Stephanie Zang | Hearing Instrument Specialist | 290 Citrus Tower Blvd Ste 105, Clermont, FL 34711-2783 | 2020-06-16 |
| 1235758863 | Madison G Gilley | Hearing Instrument Specialist | 1501 N Us Highway 441 Ste 1402, The Villages, FL 32159-6818 | 2020-04-14 |
| 1972139343 | Mildred Bernice Mcardle | Hearing Instrument Specialist | 1515 Us Highway 1 Ste 104, Sebastian, FL 32958-1612 | 2020-03-18 |
| 1346876109 | Kristen O'konski | Hearing Instrument Specialist | 3267 Garden St, Titusville, FL 32796-3004 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.