Provider Demographics
NPI:1033701073
Name:ARMONDI, WAYNE (HAS)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:ARMONDI
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2269 BLANDING BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-4100
Mailing Address - Country:US
Mailing Address - Phone:904-389-8333
Mailing Address - Fax:904-389-8331
Practice Address - Street 1:2269 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-4100
Practice Address - Country:US
Practice Address - Phone:904-389-8333
Practice Address - Fax:904-389-8331
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2198237700000X
FLAS4415237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty