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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

NPI # 1861791402
LBN Legal business name ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC
Authorized official KUNAL THAKKAR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2011
Last updated 12/06/2018 - About 8 years ago
Identifiers
FL License # ME104096
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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