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BAPTIST ENT SPECIALISTS INC NPI 1083913453


NPI Information

NPI: 1083913453
Provider Name: BAPTIST ENT SPECIALISTS INC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 10D2282190

Address:
14546 OLD SAINT AUGUSTINE RD
SUITE 401
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 268-5366
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BAPTIST ENT SPECIALISTS INC is an otolaryngology in Jacksonville, FL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. BAPTIST ENT SPECIALISTS INC NPI is 1083913453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14546 OLD SAINT AUGUSTINE RD
SUITE 401
JACKSONVILLE, FL
ZIP 32258-468
Phone: (904) 268-5366
Fax: (904) 268-5457

The provider's authorized official is Leeann Mengel .
The authorized official title is Director and has the following contact phone number (904) 376-4275.

The CLIA number assigned to this NPI record is 10D2282190 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2011 and was last updated on 3/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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