Provider Demographics
NPI:1407387392
Name:ASPIRE HEARING AND BALANCE LLC
Entity Type:Organization
Organization Name:ASPIRE HEARING AND BALANCE LLC
Other - Org Name:ASPIRE HEARING AND BALANCE
Other - Org Type:Other Name
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:GASCHLER
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:813-763-5552
Mailing Address - Street 1:635 MIDFLORIDA DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-4923
Mailing Address - Country:US
Mailing Address - Phone:863-646-3277
Mailing Address - Fax:863-646-3299
Practice Address - Street 1:635 MIDFLORIDA DR
Practice Address - Street 2:SUITE 2
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-4923
Practice Address - Country:US
Practice Address - Phone:863-646-3277
Practice Address - Fax:863-646-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1863231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty