Organization
ENT & ALLERGY SPECIALISTS OF SWFL PA
Active
Other names
University Ear, Nose, and Throat Assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA REHO (ADMINISTRATOR)
(941) 355-2767
Entity
Organization
Contact information
Practice address
2401 UNIVERSITY PKWY STE 102, SARASOTA, FL 34243-2894
(941) 355-2767
(941) 355-0167
Mailing address
2401 UNIVERSITY PKWY STE 102, SARASOTA, FL 34243-2894
(941) 355-2767
(941) 355-0167
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251697700
—
FL
Enumeration date
10/21/2010
Last updated
11/10/2021
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