Healthcare Provider Details

I. General information

NPI: 1184579856
Provider Name (Legal Business Name): DIGI DYNASTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S ORANGE AVE STE 104 #1275
ORLANDO FL
32801
US

IV. Provider business mailing address

255 S ORANGE AVE SUITE 104 # 1275
ORLANDO FL
32801
US

V. Phone/Fax

Practice location:
  • Phone: 727-405-6900
  • Fax:
Mailing address:
  • Phone: 727-405-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOHN M STEVENS
Title or Position: CEO
Credential:
Phone: 786-989-2559