Organization
EAR NOSE & THROAT FACIAL SUGERY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARILYN JUNE MALIK MD (PRESIDENT)
(239) 594-7774
Entity
Organization
Contact information
Practice address
1726 MEDICAL BLVD, SUITE 201, NAPLES, FL 34110-1426
(239) 594-7774
(239) 594-5974
Mailing address
1726 MEDICAL BLVD, SUITE 201, NAPLES, FL 34110-1426
(239) 594-7774
(239) 594-5974
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME86099
FL
Other
Enumeration date
11/02/2005
Last updated
08/22/2020
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