Provider Demographics
NPI:1295445377
Name:RESSLER, DOUGLAS L (HAS BC-HIS)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:L
Last Name:RESSLER
Suffix:
Gender:M
Credentials:HAS BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 SW 34TH AVE STE 801
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8478
Mailing Address - Country:US
Mailing Address - Phone:352-873-9050
Mailing Address - Fax:
Practice Address - Street 1:3101 SW 34TH AVE STE 801
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8478
Practice Address - Country:US
Practice Address - Phone:352-873-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3544237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAS3544OtherHEARING AID SPECIALIST