Healthcare Provider Details

I. General information

NPI: 1831109057
Provider Name (Legal Business Name): FLORIDA EAR & SINUS CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 FLOYD ST
SARASOTA FL
34239-2932
US

IV. Provider business mailing address

1901 FLOYD ST
SARASOTA FL
34239-2932
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-9222
  • Fax: 941-556-4221
Mailing address:
  • Phone: 941-366-9222
  • Fax: 941-365-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: HERBERT SILVERSTEIN
Title or Position: PRESIDENT
Credential: MD
Phone: 941-366-9222