BRANDON AREA EAR NOSE AND THROAT P.A. NPI 1730375395

NPI Information

BRANDON AREA EAR, NOSE AND THROAT, P.A. is a specialist in Brandon, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRANDON AREA EAR, NOSE AND THROAT, P.A. NPI is 1730375395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

721 W ROBERTSON ST
SUITE 108
BRANDON, FL
ZIP 33511-934
Phone: (813) 684-4221
Fax: (813) 653-2442

The provider's authorized official is Stephen L Yavelow .
The authorized official title is Physician and has the following contact phone number (813) 684-4221.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 9/18/2007.

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:

Other Identifiers

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

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