Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Derry Vansicklen, HAS

Individual provider Hearing Instrument Specialist · NPI 1417292400

Mr. Derry Vansicklen, HAS is a Hearing Instrument Specialist in Lady Lake, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

755 N US Highway 441
Lady Lake, FL 32159-3196
Phone: (352) 751-5860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence AS 4085 (FL)

Record details

NPI number1417292400
Entity typeIndividual (Type 1)
GenderMale
Credentials HAS
Sole proprietorNo
NPI enumeratedDecember 3, 2012
Last updated in NPPESFebruary 14, 2017

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