Provider Demographics
NPI:1932135316
Name:SWAMY, JAGADISH M (AUD, CCC-A, F-AAA)
Entity Type:Individual
Prefix:DR
First Name:JAGADISH
Middle Name:M
Last Name:SWAMY
Suffix:
Gender:M
Credentials:AUD, CCC-A, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 NW 40TH TER STE C
Mailing Address - Street 2:CLEAR SOUND AUDIOLOGY
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3590
Mailing Address - Country:US
Mailing Address - Phone:352-505-6766
Mailing Address - Fax:
Practice Address - Street 1:2240 NW 40TH TER STE C
Practice Address - Street 2:CLEAR SOUND AUDIOLOGY
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3590
Practice Address - Country:US
Practice Address - Phone:352-505-6766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1063231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL600479200Medicaid
FL600479200Medicaid