| Doctor Name: | JEFFREY J PRALLE |
| NPI Number: | 1295001147 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | AS 4854 |
| Business Practice Address: | 877 B N Us Hwy 441 Lady Lake, FL - 32159 |
| Business Phone Number: | 3522595855 |
| Business Fax Number: | 3522595893 |
| Mailing Address: | 3261 Hwy 441/27 Bldg C, FRUITLAND PARK |
| State: | FL |
| Postal Code: | 347314497 |
| Phone Number: | 3522595855 |
| Fax Number: | 3522595893 |
| NPI Enumeration Date: | 03/26/2012 |
| NPI Last Update Date: | 03/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | AS 4854 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |