Suncoast Audiology, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

SUNCOAST AUDIOLOGY, LLC

Doing business as

SUNCOAST AUDIOLOGY

Practice address

11200 Seminole Blvd Ste 301
Largo, FL 33778-3240

Phone

(727) 977-5222

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kelly J Dyson, AU.D.

Title

Owner

Phone

(727) 977-5222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUNCOAST AUDIOLOGY Doing business as

Locations

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1871141671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 301",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783240",
            "telephone_number": "727-977-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 301",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783240",
            "telephone_number": "727-977-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "DYSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-977-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "AY906",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNCOAST AUDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hearing and Speech Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.