Organization
HENDRY COUNTY HOSPITAL AUTHORITY
Active
Other names
Hendry Regional ENT
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN W. BEASLEY (CEO)
(863) 902-3076
Entity
Organization
Contact information
Practice address
542 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3084
(863) 983-2948
Mailing address
542 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3084
(863) 983-2948
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3995
FL
Other
Enumeration date
08/27/2010
Last updated
10/03/2011
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