ATLANTIC ENT LLC NPI 1427203348

NPI Information

  • NPI: 1427203348
  • Provider Name: ATLANTIC ENT LLC
  • Classification: Otolaryngology - 207YX0602X
  • Specialization: Otolaryngic Allergy
  • Entity Type: Organization
  • Address: 333 W COCOA BEACH CSWY STE B
    COCOA BEACH, FL
    ZIP 32931
  • Phone: (321) 799-9797

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NPI Details

ATLANTIC ENT LLC is an otolaryngic allergy otolaryngology in Cocoa Beach, FL. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. ATLANTIC ENT LLC NPI is 1427203348. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 W COCOA BEACH CSWY STE B
COCOA BEACH, FL
ZIP 32931-513
Phone: (321) 799-9797
Fax: (321) 799-3393

The provider's authorized official is Michael Paul Widick .
The authorized official title is Sole Mbr and has the following contact phone number (321) 799-9797.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 11/19/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0602XOtolaryngologyOtolaryngic AllergyME0061454FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H53063MEDICARE UPINFLORIDA
206456MEDICARE PINFLORIDA

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: 3/30/2025

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