ENT GROUP LLC NPI 1912779984

NPI Information

  • NPI: 1912779984
  • Provider Name: ENT GROUP, LLC
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Organization
  • Address: 7190 SW 87TH AVE STE 403
    MIAMI, FL
    ZIP 33173
  • Phone: (305) 456-0772

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NPI Details

ENT GROUP, LLC is a plastic surgery within the head and neck otolaryngology in Miami, FL. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. ENT GROUP, LLC NPI is 1912779984. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7190 SW 87TH AVE STE 403
MIAMI, FL
ZIP 33173-512
Phone: (305) 456-0772

The provider's authorized official is Octavio De Jesus Carreno .
The authorized official title is Manager and has the following contact phone number (305) 859-0569.

The enumeration date for this NPI number is 10/24/2023 and was last updated on 10/24/2023.

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
1207Y00000XOtolaryngologyNo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckYes

What is NPI?

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This page was last updated on: 11/21/2025

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