Organization
CENTRAL FLORIDA EAR, NOSE AND THROAT SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRANCH M.D. (PRESIDENT)
(407) 804-8795
Entity
Organization
Contact information
Practice address
925 WILLISTON PARK PT, 1001, LAKE MARY, FL 32746-2114
(407) 804-8795
Mailing address
925 WILLISTON PARK PT, 1001, LAKE MARY, FL 32746-2114
(407) 804-8795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME66400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251306400
—
FL
Enumeration date
02/16/2011
Last updated
01/26/2012
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