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Organization

ISLAND ENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HEATHER JOY CLARK (BUSINESS OWNER/ MANAGER)
(941) 786-0386
Entity
Organization

Contact information

Practice address
901 VENETIA BAY BLVD STE 350, VENICE, FL 34285-8052
(941) 786-0386
(941) 786-0386
Mailing address
901 VENETIA BAY BLVD STE 350, VENICE, FL 34285-8052
(941) 786-0386
(941) 786-0386

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
332S00000X
Hearing Aid Equipment

Other

Enumeration date
09/21/2022
Last updated
05/16/2025
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