Organization
BROWARD ENT CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAM KUMAR MADASU M.D. (PHYSICIAN)
(954) 755-4002
Entity
Organization
Contact information
Practice address
5511 N UNIVERSITY DR, SUITE 101B, CORAL SPRINGS, FL 33067-4646
(954) 755-4002
(954) 755-5010
Mailing address
5511 N UNIVERSITY DR, SUITE 101B, CORAL SPRINGS, FL 33067-4646
(954) 755-4002
(954) 755-5010
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME85117
FL
207YP0228X
Pediatric Otolaryngology Physician
ME85117
FL
207YS0123X
Facial Plastic Surgery Physician
ME85117
FL
207YX0602X
Otolaryngic Allergy Physician
ME85117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51399A
BCBS
FL
Enumeration date
10/26/2005
Last updated
02/21/2008
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