Florida Ent Adult & Pediatric Pa

LBN: Florida Ent Adult & Pediatric Pa
Florida Ent Adult & Pediatric Pa is an health care organization with primary practice located at 1162 Cypress Glen Cir , Kissimmee FL 34741-7560. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Florida Ent Adult & Pediatric Pa can be contacted via phone (407) 343-9006, or through Fadhli, Omar via phone (407) 343-9006.

Contact Information

Primary practice address
1162 Cypress Glen Cir Kissimmee FL 34741-7560
Phone: (407) 343-9006
Fax: (407) 343-0999
Website:
Map and Directions
Authorized official contact:
Name: Fadhli, Omar Doctor of Medicine (MD)
Phone: (407) 343-9006

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME0077191 Florida

Profile Details

NPI number 1316908353
LBN Legal business name Florida Ent Adult & Pediatric Pa
DBA Doing business as
Authorized official Fadhli, Omar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 9th, 2021 - about 3 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 1316908353 NPPES
Florida Other AB304 MEDICARE PTAN

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