Organization
ENT GROUP, LLC
Active
Organization
ENT GROUP, LLC
Active
Parent organization
ENT GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENT GROUP, LLC
Authorized official
OCTAVIO DE JESUS CARRENO (MANAGER)
(305) 859-0569
Entity
Organization
Contact information
Practice address
7190 SW 87TH AVE STE 403, MIAMI, FL 33173-2512
(305) 456-0772
Mailing address
2400 SW 69TH AVE, MIAMI, FL 33155-2919
(305) 859-0569
(305) 859-0569
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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