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EAR NOSE & THROAT INSTITUTE FACIAL SURGERY GROUP PA NPI 1124141312


NPI Information

NPI: 1124141312
Provider Name: EAR NOSE & THROAT INSTITUTE FACIAL SURGERY GROUP PA
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
13691 METRO PKWY
STE 420
FORT MYERS, FL
ZIP 33912
Phone: (239) 768-7332
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EAR NOSE & THROAT INSTITUTE FACIAL SURGERY GROUP PA is an otolaryngology in Fort Myers, 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. EAR NOSE & THROAT INSTITUTE FACIAL SURGERY GROUP PA NPI is 1124141312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13691 METRO PKWY
STE 420
FORT MYERS, FL
ZIP 33912-327
Phone: (239) 768-7332
Fax: (239) 768-2197

The provider's authorized official is Harold Kushner .
The authorized official title is President and has the following contact phone number (239) 768-7332.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 6/28/2012.


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
1207Y00000XOtolaryngologyME42748FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1040308300MEDICAIDFLORIDA
2D54505MEDICARE UPINFLORIDA
3DN181AMEDICARE PINFLORIDA
4DS2037OTHERFLORIDAMEDICARE RAILROAD CARRIER

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: 11/14/2023

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