| Dominique M Botta, AUD | |
|
1370 13th Ave S Ste 115, Jacksonville, FL 32250-3206 | |
| (904) 202-6390 | |
| (904) 390-7388 |
| Full Name | Dominique M Botta |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 6 Years |
| Location | 1370 13th Ave S Ste 115, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518434547 | NPI | - | NPPES |
| AY2238 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AY2238 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgeons Pa | 2769381391 | 231 |
| Provider Name | North Florida Surgeons Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
| Provider Name | Baptist Ent Specialists Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467751834 PECOS PAC ID: 4587833983 Enrollment ID: O20110801000448 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique M Botta, AUD Po Box 746656, Atlanta, GA 30374-6656 Ph: (904) 202-5111 | Dominique M Botta, AUD 1370 13th Ave S Ste 115, Jacksonville, FL 32250-3206 Ph: (904) 202-6390 |
Dr. Martha Meyers, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 751 Oak St, Jacksonville, FL 32204 Phone: 904-318-8342 | |
Millicent Garry, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Meg Frances Schwalm, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1536 N Jefferson St, Jacksonville, FL 32209 Phone: 904-470-6900 | |
Jacksonville Speech & Hearing Center, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1128 N Laura St, Jacksonville, FL 32206 Phone: 904-355-3403 Fax: 904-355-4149 | |
Mrs. Carol Elizabeth Gischia, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2005 Knight Lane Bldg H, Navy Medicine Support Command, Jacksonville, FL 32212 Phone: 904-542-7200 | |
Kimberly Greenwood Johnson, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 653 W 8th St, Ufjax - Dept. Of Surgery/otolaryngology, Jacksonville, FL 32209 Phone: 904-244-7463 Fax: 904-244-7730 | |
Courtney Luffler, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |