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Contact Information

PEDIATRIC ENT OF SOUTHWEST FLORIDA PLLC
19 GEORGETOWN
FORT MYERS, FL33919-1088
 Phone: 210-216-5650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for PEDIATRIC ENT OF SOUTHWEST FLORIDA PLLC · (Female)

NPI # 1619389962
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2014
Last updated 05/21/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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