NPI Code Detail JSON Logo

1508692260 NPI number — EAR NOSE THROAT AND SINUS CENTER OF SOUTH FLORIDA, INC.

NPI Number: 1508692260
Health Care Provider/Practitioner: EAR NOSE THROAT AND SINUS CENTER OF SOUTH FLORIDA, INC.

Information about “1508692260” NPI (EAR NOSE THROAT AND SINUS CENTER OF SOUTH FLORIDA, INC.) exists in 1508692260 in HTML format HTML  |  1508692260 in plain Text format TXT  |  1508692260 in PDF (Portable Document Format) PDF  |  1508692260 in an XML format XML  formats.

NPI Number : 1508692260 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508692260",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EAR NOSE THROAT AND SINUS CENTER OF SOUTH FLORIDA, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20 SE 11TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FT LAUDERDALE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33301-2058",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-270-3033",
    "MailingAddressFaxNumber": "954-678-2592",
    "FirstLinePracticeLocationAddress": "3039 JOHNSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLLYWOOD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33021-5536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "955-900-1497",
    "PracticeLocationAddressFaxNumber": "954-678-2592",
    "EnumerationDate": "09/10/2024",
    "LastUpdateDate": "09/10/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHAPIRO",
    "AuthorizedOfficialFirstName": "CRAIG",
    "AuthorizedOfficialMiddleName": "STEVEN",
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DO",
    "AuthorizedOfficialTelephoneNumber": "954-270-3033",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Y00000X",
        "TaxonomyName": "Otolaryngology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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