Healthcare Provider Details

I. General information

NPI: 1760794036
Provider Name (Legal Business Name): DIGITAL HEARING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 W DR MLK BLVD SUITE 100
TAMPA FL
33607-6235
US

IV. Provider business mailing address

3111 W DR MLK BLVD SUITE 100
TAMPA FL
33607-6235
US

V. Phone/Fax

Practice location:
  • Phone: 727-421-8179
  • Fax:
Mailing address:
  • Phone: 727-421-8179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS4097
License Number StateFL

VIII. Authorized Official

Name: MR. ANDREW B MOORE
Title or Position: MANAGER
Credential: HAS
Phone: 727-421-8179