Provider Demographics
NPI:1427372267
Name:DALY, JOSHUA DAVID (HAS)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DAVID
Last Name:DALY
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 S ORANGE BLOSSOM TRL STE 692
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-9135
Mailing Address - Country:US
Mailing Address - Phone:407-859-7005
Mailing Address - Fax:407-850-2635
Practice Address - Street 1:8001 S ORANGE BLOSSOM TRL STE 692
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-9135
Practice Address - Country:US
Practice Address - Phone:407-859-7005
Practice Address - Fax:407-850-2635
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4642237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist