Heartland Otolaryngology LLC
Otolaryngology in Kissimmee, FL. Organization (NPI-2).
NPI number1316049547
StatusActive
Last updated in NPPESJan 3, 2014
Details
- NPI
- 1316049547
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartland Otolaryngology LLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2006
- Last updated
- Jan 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | ME0058319 | FL | Yes |
Practice location
1172 Cypress Glen CirKissimmee, FL 34741-7560
Phone 407-518-1810 · Fax 407-201-8834
Mailing address
1172 Cypress Glen CirKissimmee, FL 34741-7560
Phone 407-518-1810 · Fax 407-201-8834
Authorized official
Jose L. Ruiz
Owner/Manager
4075181810
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