Organization
EAR, NOSE AND THROAT CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ALBERT NINKE MD (PRESIDENT)
(772) 581-3687
Entity
Organization
Contact information
Practice address
7915 BAY ST, SEBASTIAN, FL 32958-3282
(772) 581-3687
(772) 581-3680
Mailing address
7915 BAY STREET, SEBASTIAN, FL 32958
(772) 581-3687
(772) 581-3680
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME85949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265617500
—
FL
Enumeration date
03/16/2007
Last updated
12/02/2010
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