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General NPI Number Information
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NPI Number | 1336354307
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA OTOLARYNGOLOGY ASSOCIATES INC.
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Dates
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Enumeration Date | 05/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3015 S CONGRESS AVE SUITE 6
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2111
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Country | US
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Telephone | 561-966-9611
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Fax | 561-966-4160
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Provider Business Mailing Address
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Address Line | 3015 S CONGRESS AVE SUITE 6
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2111
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Country | US
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Telephone | 561-966-9611
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Fax | 561-966-4160
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM STUART SLOMKA
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Credential | MD
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Telephone | 561-966-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME60166
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License Number State | FL
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