| Entity Name: | DIGITAL HEARING LAB CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 May 2005 (20 years ago) |
| Document Number: | P05000064798 |
| FEI/EIN Number | 202792155 |
| Mail Address: | 290 Citrus Tower Blvd., CLERMONT, FL, 34711, US |
| Address: | 290 Citrus Tower Blvd., Clermont, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669992012 | 2017-06-26 | 2018-06-16 | 2738 EAGLE LAKE DR, CLERMONT, FL, 347116269, US | 22 BROADWAY UNIT 109, KISSIMMEE, FL, 347415408, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 352-988-0274 |
Authorized person
| Name | GABRIEL E RODRIGUEZ |
| Role | HEARING INSTRUMENT SPECIALIST |
| Phone | 3529880274 |
Taxonomy
| Taxonomy Code | 237700000X - Hearing Instrument Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016243300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ Gabriel E | Agent | 290 Citrus Tower Blvd., Clermont, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ Gabriel E | President | 290 Citrus Tower Blvd, Clermont, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| Zang Stephanie | Vice President | 290 Citrus Tower Blvd., Clermont, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-06-26 | 290 Citrus Tower Blvd., 105, Clermont, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-04 | 290 Citrus Tower Blvd., 105, Clermont, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-04 | 290 Citrus Tower Blvd., 105, Clermont, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-30 | RODRIGUEZ, Gabriel E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-04-12 |
| AMENDED ANNUAL REPORT | 2021-06-26 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-01-04 |
| ANNUAL REPORT | 2017-01-30 |
| AMENDED ANNUAL REPORT | 2016-11-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
