Organization
WEST COAST EAR, NOSE & THROAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACIE BABCOCK (DIRECTOR OF FINANCE)
(727) 216-0700
Entity
Organization
Contact information
Practice address
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756-3313
(727) 216-0700
(727) 216-0704
Mailing address
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756-3313
(727) 216-0700
(727) 216-0704
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME54343
FL
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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