Active NPI
Digital Hearing Lab Corp
- Hearing Instrument Specialist
- Kissimmee, FL
National Provider Identifier
1669992012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Legal business name
- DIGITAL HEARING LAB CORP
- Practice address
- 22 Broadway Unit 109
Kissimmee, FL 34741-5408 - Phone
- (352) 988-0274
- NPI assigned
- Jun 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriel E Rodriguez, HEARING SPECIALIST
- Title
- Hearing Instrument Specialist
- Phone
- (352) 988-0274
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | Primary |
Addresses
Primary practice location
22 Broadway Unit 109
Kissimmee, FL 34741-5408
Mailing address
2738 Eagle Lake Dr
Clermont, FL 34711-6269
Phone (352) 988-0274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016243300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
22 Broadway
Ste 109
Kissimmee, FL 34741
Phone (352) 988-0274
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Clermont, FL
- NPI 1801130059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1669992012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2738 EAGLE LAKE DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116269",
"telephone_number": "352-988-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BROADWAY UNIT 109",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415408",
"telephone_number": "352-988-0274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITAL HEARING LAB CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-26",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "GABRIEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "HEARING INSTRUMENT SPECIALIST",
"authorized_official_telephone_number": "352-988-0274",
"authorized_official_credential": "HEARING SPECIALIST"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016243300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.