Organization
AMELIA EAR NOSE & THROAT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BAUER M.D. (OWNER)
(904) 321-1417
Entity
Organization
Contact information
Practice address
1340 S 18TH ST, SUITE 102, FERNANDINA, FL 32034-4733
(904) 321-1417
(904) 321-1418
Mailing address
1340 S 18TH ST, SUITE 102, FERNANDINA, FL 32034-4733
(904) 321-1417
(904) 321-1418
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME86839
FL
Other
Enumeration date
10/23/2007
Last updated
10/24/2007
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