Provider Demographics
NPI:1265825467
Name:TASLER, ADAM (HAS)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:TASLER
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 1:1407 DEL PRADO BLVD S
Mailing Address - Street 2:SUITE #14
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-3704
Mailing Address - Country:US
Mailing Address - Phone:239-772-8189
Mailing Address - Fax:239-772-9593
Practice Address - Street 1:1407 DEL PRADO BLVD S
Practice Address - Street 2:SUITE #14
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3704
Practice Address - Country:US
Practice Address - Phone:239-772-8189
Practice Address - Fax:239-772-9593
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5048237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist