Organization
ENT ASSOCIATES OF BROWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE LYNN PENCE DO (MEMEBER)
(954) 755-8885
Entity
Organization
Contact information
Practice address
8130 ROYAL PALM BLVD, SUITE 205, CORAL SPRINGS, FL 33065-5703
(954) 345-9191
Mailing address
9311 W SAMPLE RD, CORAL SPRINGS, FL 33065-4101
(954) 755-8885
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
OS10414
FL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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