Ear Nose & Throat Institute Facial Surgery Group Pa
LBN: Ear Nose & Throat Institute Facial Surgery Group Pa
Ear Nose & Throat Institute Facial Surgery Group Pa is an health care organization with primary practice located at 13691 Metro Pkwy Ste 420, Fort Myers FL 33912-4327. 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 Institute Facial Surgery Group Pa can be contacted via phone (239) 768-7332, or through Kushner, Harold via phone (239) 768-7332.
Contact Information
Primary practice address
13691 Metro Pkwy Ste 420
Fort Myers FL 33912-4327
Phone: (239) 768-7332
Fax: (239) 768-2197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME42748 | Florida |
Profile Details
| NPI number | 1124141312 |
|---|---|
| LBN Legal business name | Ear Nose & Throat Institute Facial Surgery Group Pa |
| DBA Doing business as | |
| Authorized official | Kushner, Harold Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jun 28th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124141312 | NPPES |
| Florida | MEDICAID | 040308300 | |
| Florida | Other | DS2037 |
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