Healthcare Provider Details

I. General information

NPI: 1063248136
Provider Name (Legal Business Name): DIGITAL HEARTWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11582 LAVENDER LOOP
SPRING HILL FL
34609-6625
US

IV. Provider business mailing address

17206 HELEN K DR
SPRING HILL FL
34610-7719
US

V. Phone/Fax

Practice location:
  • Phone: 727-301-0210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ANGELENID OCHOCKI
Title or Position: OWNER
Credential:
Phone: 727-301-0210