Central Florida Ear, Nose And Throat Specialists, Pa
Specialist in Lake Mary, FL(View on Map)
Legal Business Name
Central Florida Ear, Nose And Throat Specialists, Pa
NPI Number
1275830960
NPI Type
Organization
Enumeration Date
02/16/2011
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME66400
Contact
Information
Purpose
Mailing
Location
Address
925 WILLISTON PARK PT
925 WILLISTON PARK PT
City
Lake Mary
Lake Mary
State
FL
FL
Postal Code
32746-2114
32746-2114
Country
US
US
Telephone Number
(407) 804-8795
(407) 804-8795
Authorized Official
Name
Dr. Michael Branch
Title or Position
PRESIDENT
Telephone Number
(407) 804-8795
Identifiers
Identifier
251306400
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/26/2012
Provider Address
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