Organization Active NPI

Central Florida Audiology & Hearing Clinic, Inc.

  • Hearing and Speech Clinic/Center
  • Orlando, FL
National Provider Identifier
1588077549
Registry record updated Jun 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
AY 1370 Issued in FL
Legal business name
CENTRAL FLORIDA AUDIOLOGY & HEARING CLINIC, INC.
Practice address
1601 Park Center Dr
8
Orlando, FL 32835-5700
Phone
(407) 413-5680
Fax
(407) 413-5682
NPI assigned
Jun 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephan Anthony Condill, AU,D.
Title
Owner/Audiologist
Phone
(407) 413-5680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X AY 1370 FL Primary

Addresses

Primary practice location

1601 Park Center Dr
8
Orlando, FL 32835-5700

Mailing address

1601 Park Center Dr
8
Orlando, FL 32835-5700
Phone (407) 413-5680

National Provider Directory

National Provider Directory

Locations

1601 Park Center Dr
Ste 8
Orlando, FL 32835
Phone (407) 413-5680

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402185600000",
    "number": "1588077549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PARK CENTER DR",
            "address_2": "8",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355700",
            "telephone_number": "407-413-5680",
            "fax_number": "407-413-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PARK CENTER DR",
            "address_2": "8",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355700",
            "telephone_number": "407-413-5680",
            "fax_number": "407-413-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA AUDIOLOGY & HEARING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A",
        "authorized_official_last_name": "CONDILL",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "407-413-5680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU,D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "AY 1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.