Advanced Otolaryngology Services Pa in Jacksonville - Otolaryngology
Advanced Otolaryngology Services Pa - NPI 1558376004
Advanced Otolaryngology Services Pa is a Otolaryngology in Jacksonville, Florida. Advanced Otolaryngology Services Pa practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Advanced Otolaryngology Services Pa is 1558376004. The last update date is 2015-02-16.
Advanced Otolaryngology Services Pa's current location address is 3627 University Blvd S Ste 210, Jacksonville, Florida. You can contact this provider via phone number 9043995311 and fax number 9043962520. The mailing address for Advanced Otolaryngology Services Pa is 3627 University Blvd S Ste 210, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Otolaryngology Services Pa |
|---|---|
| Address | 3627 University Blvd S Ste 210, Jacksonville, Florida |
| Phone Number | 9043995311 |
| Fax Number | 9043962520 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Beck Richard |
| Credentials | M.D. |
| Telephone Number | 9043995311 |
NPI Number Detail
| NPI Number | 1558376004 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2015-02-16 |
Provider Mailing Address Detail
| Address | 3627 University Blvd S Ste 210 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322164256 |
| Phone Number | 9043995311 |
| Fax Number | 9043962520 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Post Comment/ Review Below
Could you please provide the complete physical location address of Advanced Otolaryngology Services Pa?
The Advanced Otolaryngology Services Pa is physically situated at 3627 University Blvd S Ste 210, in the city of Jacksonville, state of FL, with the postal code 322164256.
What is the area of specialization for Advanced Otolaryngology Services Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Advanced Otolaryngology Services Pa is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.
When was the Advanced Otolaryngology Services Pa's 1558376004 issued?
The Advanced Otolaryngology Services Pa's 1558376004 was issued on 2006-07-30.
On what date did the Centers for Medicare & Medicaid Services issue the 1558376004 to Advanced Otolaryngology Services Pa?
The Advanced Otolaryngology Services Pa received its 1558376004 assignment from the Centers for Medicare & Medicaid Services on 2006-07-30.
When was the information pertaining to Advanced Otolaryngology Services Pa most recently updated or revised?
The details related to Advanced Otolaryngology Services Pa, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-16.
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