Organization
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUNAL THAKKAR MD (PRESIDENT)
(904) 339-0350
Entity
Organization
Contact information
Practice address
1560 ROBERTS DR, JACKSONVILLE BEACH, FL 32250-3222
(904) 339-0350
(904) 339-0351
Mailing address
1560 ROBERTS DR, JACKSONVILLE BEACH, FL 32250-3222
(904) 339-0350
(904) 339-0351
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME104096
FL
Other
Enumeration date
03/22/2011
Last updated
12/06/2018
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