Provider Demographics
NPI:1043318348
Name:KURZON, JEFF R (LHAS)
Entity Type:Individual
Prefix:MR
First Name:JEFF
Middle Name:R
Last Name:KURZON
Suffix:
Gender:M
Credentials:LHAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6044 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4283
Mailing Address - Country:US
Mailing Address - Phone:407-855-9799
Mailing Address - Fax:
Practice Address - Street 1:6044 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4283
Practice Address - Country:US
Practice Address - Phone:407-855-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2572237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist