Organization
ASSOCIATED COASTAL EAR NOSE & THROAT PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BROWNING (PRACTICE MANAGER)
(772) 464-9595
Entity
Organization
Contact information
Practice address
4632 S. 25TH STREET, FORT PIERCE, FL 34981
(954) 587-4218
(954) 587-4219
Mailing address
4632 S 25TH STREET, FORT PIERCE, FL 34981
(772) 464-9595
(772) 464-9582
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34174
BCBSFL GRP#
FL
Enumeration date
11/09/2006
Last updated
02/03/2023
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