Organization
FLORIDAGULFCOAST EARNOSEANDTHROAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E LOUNDS (PRACTICE ADMINISTRATOR)
(239) 514-2225
Entity
Organization
Contact information
Practice address
2180 IMMOKALEE RD STE 101, NAPLES, FL 34110-1422
(239) 514-2225
(239) 514-2280
Mailing address
2180 IMMOKALEE RD STE 101, NAPLES, FL 34110-1422
(239) 514-2225
(239) 514-2280
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94911
BLUE SHIELD PROVIDER NUMB
FL
Enumeration date
11/15/2006
Last updated
05/30/2024
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