Organization
EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC
Active
Parent organization
EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC
Authorized official
DR. THUONG HOAL TRINH DO (PHYSICIAN/OWNER)
(407) 992-9229
Entity
Organization
Contact information
Practice address
7575 DR. PHILLIPS BLVD, SUITE 10, ORLANDO, FL 32819-7221
(407) 992-9229
(877) 933-2424
Mailing address
7575 DR. PHILLIPS BLVD, SUITE 10, ORLANDO, FL 32819-7221
(407) 992-9229
(877) 933-2424
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
OS 10261
FL
261QM2500X
Medical Specialty Clinic/Center
Primary
OS10261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488466
—
FL
Enumeration date
08/04/2008
Last updated
12/08/2010
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