Provider Demographics
NPI:1033249743
Name:CASLER, PHYLLIS ANN
Entity Type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:ANN
Last Name:CASLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10830 SW 29 PL
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328
Mailing Address - Country:US
Mailing Address - Phone:954-382-1217
Mailing Address - Fax:954-382-1290
Practice Address - Street 1:1822 WEST HILLSBORO BLVD
Practice Address - Street 2:DEERFIELD HEARING CENTER
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442
Practice Address - Country:US
Practice Address - Phone:954-570-9631
Practice Address - Fax:954-429-3403
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY106231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS0489AMedicare ID - Type Unspecified