Organization
EAR NOSE & THROAT INSTITUTE FACIAL SURGERY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD KUSHNER M.D. (PRESIDENT)
(239) 768-7332
Entity
Organization
Contact information
Practice address
13691 METRO PKWY, STE 420, FORT MYERS, FL 33912-4327
(239) 768-7332
(239) 768-2197
Mailing address
PO BOX 7518, FORT MYERS, FL 33911-7518
(239) 931-7262
(239) 931-7397
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME42748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040308300
—
FL
01
—
DS2037
MEDICARE RAILROAD CARRIER
FL
Enumeration date
04/10/2007
Last updated
06/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us