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Beacon Head And Neck Clinic, PA

Otolaryngology in Spring Hill, FL. Organization (NPI-2).

NPI number1801014253
StatusActive
Last updated in NPPESJul 12, 2007

Details

NPI
1801014253
Entity type
Organization (NPI-2)
Legal business name
Beacon Head And Neck Clinic, PA
Organization subpart
No
Enumeration date
Apr 23, 2007
Last updated
Jul 12, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology85915FLYes

Practice location

120 Medical Blvd Ste 100
Spring Hill, FL 34609-0221

Phone 352-688-9282

Mailing address

Po Box 917584
Orlando, FL 32891-7584

Authorized official

Ted W Brown
President
3526889282

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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