Provider Demographics
NPI:1780823633
Name:DIGITAL HEARING AID PLACE, INC.
Entity Type:Organization
Organization Name:DIGITAL HEARING AID PLACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, HA SPECIALIST
Authorized Official - Phone:239-435-0299
Mailing Address - Street 1:4951 TAMIAMI TRL N # 104
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3067
Mailing Address - Country:US
Mailing Address - Phone:239-435-0299
Mailing Address - Fax:
Practice Address - Street 1:4951 TAMIAMI TRL N # 104
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3067
Practice Address - Country:US
Practice Address - Phone:239-435-0299
Practice Address - Fax:239-435-0892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2229082261QH0700X
FLAY994261QH0700X
FLAS3558261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT0826OtherBCBSFL