Organization
GULFCOAST EAR NOSE & THROAT ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ALBERTO BERRIOS M.D. (PRESIDENT)
(727) 942-4005
Entity
Organization
Contact information
Practice address
3007 RIDGELINE BLVD, SUITE A, TARPON SPRINGS, FL 34688-9103
(727) 942-4005
(727) 934-1773
Mailing address
3007 RIDGELINE BLVD, SUITE A, TARPON SPRINGS, FL 34688-9103
(727) 942-4005
(727) 934-1773
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0052177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047382100
—
FL
Enumeration date
10/10/2008
Last updated
10/16/2008
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