Organization
EAR NOSE AND THROAT SPECIALISTS OF FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J LANE MD (MANAGING PARTNER)
(239) 936-1616
Entity
Organization
Contact information
Practice address
39 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 936-1616
(239) 274-3873
Mailing address
39 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 936-1616
(239) 936-0837
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253979900
—
FL
Enumeration date
07/10/2007
Last updated
01/05/2010
Update your record
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