Organization
THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEHMAN MD (PRESIDENT)
(407) 644-4883
Entity
Organization
Contact information
Practice address
133 BENMORE DR, SUITE 100, WINTER PARK, FL 32792-4143
(407) 644-4883
(407) 644-3697
Mailing address
133 BENMORE DR, SUITE 100, WINTER PARK, FL 32792-4143
(407) 644-4883
(407) 644-3697
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24437
BC/BS GROUP NUMBER
—
05
—
375028100
—
FL
01
—
C31310
RR MEDICARE
—
01
—
CB0799
RR MEDICARE
—
01
—
CB0800
RR MEDICARE
—
Enumeration date
01/09/2006
Last updated
01/08/2022
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