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General NPI Number Information
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NPI Number | 1760682231
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Entity Type | Organization
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Legal Business Name | FLORIDA ENT ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 7900 GLADES RD STE 340
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City | BOCA RATON
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State | FL
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Zip | 33434-4104
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Country | US
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Telephone | 305-558-3724
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Fax |
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Provider Business Mailing Address
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Address Line | 15280 NW 79TH CT STE 200
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5873
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Country | US
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Telephone | 305-558-3724
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Fax | 305-558-4316
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | JAMES POLFREMAN
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Credential |
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Telephone | 305-558-3724
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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 |
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License Number State |
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