Provider Demographics
NPI:1679712012
Name:JAMB HEARING INC
Entity Type:Organization
Organization Name:JAMB HEARING INC
Other - Org Name:ST. JOHNS HEARING INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:III
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:727-474-9708
Mailing Address - Street 1:600 CLEVELAND ST STE 440
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-4184
Mailing Address - Country:US
Mailing Address - Phone:727-474-9708
Mailing Address - Fax:727-791-4220
Practice Address - Street 1:600 CLEVELAND ST STE 440
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-4184
Practice Address - Country:US
Practice Address - Phone:727-474-9708
Practice Address - Fax:727-791-4220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332S00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty