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Contact Information

CENTRAL FLORIDA OTOLARYNGOLOGY PLLC
410 LIONEL WAY
STE 202
DAVENPORT, FL33837
 Phone: 863-225-6522
 Fax: 863-582-9796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CENTRAL FLORIDA OTOLARYNGOLOGY PLLC

NPI # 1023384484
LBN Legal business name CENTRAL FLORIDA OTOLARYNGOLOGY PLLC
Authorized official MENACHEM STUART - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2012
Last updated 03/29/2012 - About 14 years ago
Identifiers
FL Other ME112526 STATE MEDICAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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