Organization · NPI-2
Ent & Allergy Specialists Of Swfl PA
Otolaryngology · Sarasota, FL
NPI number1417267600
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1417267600
- Entity type
- Organization (NPI-2)
- Legal business name
- Ent & Allergy Specialists Of Swfl PA
- Organization subpart
- No
- Enumeration date
- Oct 21, 2010
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Other names
- University Ear, Nose, And Throat Assoc. (Doing Business As)
Practice location
2401 University Pkwy Ste 102Sarasota, FL 34243-2894
Phone 941-355-2767 · Fax 941-355-0167
Mailing address
2401 University Pkwy Ste 102Sarasota, FL 34243-2894
Phone 941-355-2767 · Fax 941-355-0167
Other practice locations
420 Nokomis Ave S
Venice, FL 34285-2617
Venice, FL 34285-2617
Phone 941-355-2767 · Fax 941-355-0617
Authorized official
Loretta Reho
Administrator
9413552767
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