Jelley, Anthony James

Jelley, Anthony James is an sole proprietor health care provider with primary practice located at 5491 N University Dr Suite 101, Coral Springs FL 33067-4644. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Jelley, Anthony James can be contacted via phone (954) 227-2779.

Contact Information

Primary practice address
5491 N University Dr Suite 101 Coral Springs FL 33067-4644
Fax: (954) 345-8166
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY00672 Florida

Profile Details

NPI number 1508882176
LBN Legal business name Jelley, Anthony James
Credentials MJ.S., CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508882176 NPPES
Florida MEDICAID 600053300

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