# ENT GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ENT GROUP, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912779984
- **Legal business name:** ENT GROUP, LLC
- **Authorized official:** OCTAVIO DE JESUS CARRENO (MANAGER)
- **Authorized official phone:** (305) 859-0569

## Contact information

- **Practice address:** 7190 SW 87TH AVE STE 403, MIAMI, FL 33173-2512
- **Practice address phone:** (305) 456-0772
- **Mailing address:** 2400 SW 69TH AVE, MIAMI, FL 33155-2919
- **Mailing address phone:** (305) 859-0569
- **Mailing address fax:** (305) 859-0569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023