is a Otolaryngology in Coconut Creek, Florida. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for is 1659580066. The last update date is .
's current location address is 4515 Wiles Rd Ste 201, Coconut Creek, Florida. You can contact this provider via phone number 9549431418 and fax number 7866623670. The mailing address for is 4515 Wiles Rd Ste 201, Coconut Creek, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4515 Wiles Rd Ste 201, Coconut Creek, Florida |
| Phone Number | 9549431418 |
| Fax Number | 7866623670 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659580066 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4515 Wiles Rd Ste 201 |
|---|---|
| City | Coconut Creek |
| State | Florida (FL) |
| Post Code | 330733414 |
| Phone Number | 9549431418 |
| Fax Number | 7866623670 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | ME113564 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7743000 | FL | -- |
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