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Organization

BEACON HEAD AND NECK CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TED W BROWN (PRESIDENT)
(352) 688-9282
Entity
Organization

Contact information

Practice address
120 MEDICAL BLVD STE 100, SPRING HILL, FL 34609-0221
(352) 688-9282
Mailing address
PO BOX 917584, ORLANDO, FL 32891-7584

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
85915
FL

Other

Enumeration date
04/23/2007
Last updated
07/12/2007
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