Provider Demographics
NPI:1548762180
Name:DOYLE, AMY BETH (HAS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:BETH
Last Name:DOYLE
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10585 ULMERTON RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3529
Mailing Address - Country:US
Mailing Address - Phone:727-581-9135
Mailing Address - Fax:727-683-9370
Practice Address - Street 1:10585 ULMERTON RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3529
Practice Address - Country:US
Practice Address - Phone:727-581-9135
Practice Address - Fax:727-683-9370
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5284237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAS5284OtherBOARD OF HEARING AID SPECIALIST