Provider Demographics
NPI:1679767404
Name:DREWSKI, JEAN M (BS)
Entity type:Individual
Prefix:MS
First Name:JEAN
Middle Name:M
Last Name:DREWSKI
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2888 SE ITALY ST
Mailing Address - Street 2:EARMARK HEARING
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952
Mailing Address - Country:US
Mailing Address - Phone:863-763-4334
Mailing Address - Fax:863-763-3226
Practice Address - Street 1:520 SO PARROTT AVE
Practice Address - Street 2:OPTICAL GALLERY
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974
Practice Address - Country:US
Practice Address - Phone:863-763-4334
Practice Address - Fax:863-763-3226
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD01084156FX1800X
FLAS2400237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician