Organization
INDEPENDENCE EAR, NOSE & THROAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAITLYN C LUSTGARTEN (MANAGER)
(772) 888-1880
Entity
Organization
Contact information
Practice address
1400 NW FEDERAL HWY, STUART, FL 34994-1020
(772) 285-5334
Mailing address
1400 NW FEDERAL HWY, STUART, FL 34994-1020
(772) 888-1880
(855) 618-2315
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
04/14/2022
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