Organization
ENT FACULTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON DUMORNAY MD (AUTHORIZED REPRESENTATIVE)
(954) 675-4401
Entity
Organization
Contact information
Practice address
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064-3502
(954) 444-0668
Mailing address
2307 W BROWARD BLVD STE 201, FT LAUDERDALE, FL 33312-1420
(954) 444-0668
(954) 541-2392
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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