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Contact Information

ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC
1560 ROBERTS DR
JACKSONVILLE BEACH, FL32250-3222
 Phone: 904-339-0350
 Fax: 904-339-0351
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ADVANCED EAR NOSE THROAT ASSOCIATES LLC · (Female)

NPI Number 1861791402
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2011
Last updated 12/06/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME104096
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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