MEDICARE: EMILY JOY KOUDELKA HAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	AS4568	FL

General Provider Information

NPI Number	:	1942815469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY JOY KOUDELKA HAS

Provider Business Mailing Address
First Line	:	2170 GULF GATE DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4813
Country	:	US
Telephone Number	:	941-922-5894
Fax Number	:

Provider Business Practice Location Address
First Line	:	2170 GULF GATE DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4813
Country	:	US
Telephone Number	:	941-922-5894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2020
Last Update Date	:	01/20/2026

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Directions to “ EMILY JOY KOUDELKA HAS” Practice Location

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