MEDICARE: WH ASPIRE GROUP LLC

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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1952196016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WH ASPIRE GROUP LLC

Provider Business Mailing Address
First Line	:	635 MIDFLORIDA DR STE 2
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-4923
Country	:	US
Telephone Number	:	863-646-3277
Fax Number	:	863-646-3299

Provider Business Practice Location Address
First Line	:	510 1ST ST S
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-3601
Country	:	US
Telephone Number	:	863-293-6507
Fax Number	:	863-291-0737

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KAYLA G WILKINS
Credential	:	AUD
Telephone Number	:	813-763-5552

Provider Enumeration Date	:	04/10/2025
Last Update Date	:	04/10/2025

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