Ear, Nose & Throat Associates Of Lake County , Pa

LBN: Ear, Nose & Throat Associates Of Lake County , Pa
Ear, Nose & Throat Associates Of Lake County , Pa is an health care organization with primary practice located at 2038 Classique Lane , Tavares FL 32778. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Ear, Nose & Throat Associates Of Lake County , Pa can be contacted via phone (352) 742-0225, or through Burgos, Don S. via phone (352) 742-0225.

Contact Information

Primary practice address
2038 Classique Lane Tavares FL 32778
Phone: (352) 742-0225
Fax: (352) 742-0228
Website:
Map and Directions
Authorized official contact:
Name: Burgos, Don S. Doctor of Medicine (MD)
Phone: (352) 742-0225

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME0054256 Florida

Profile Details

NPI number 1639372634
LBN Legal business name Ear, Nose & Throat Associates Of Lake County , Pa
DBA Doing business as
Authorized official Burgos, Don S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 23rd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639372634 NPPES
Florida MEDICAID 062121800

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