MEDICARE: EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	OS 10261	FL
2	261QM2500X	Medical Specialty Clinic/Center	OS10261	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982860482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC

Provider Business Mailing Address
First Line	:	7575 DR. PHILLIPS BLVD
Second Line	:	SUITE 10
City	:	ORLANDO
State	:	FL
Zip	:	32819-7221
Country	:	US
Telephone Number	:	407-992-9229
Fax Number	:	877-933-2424

Provider Business Practice Location Address
First Line	:	7575 DR. PHILLIPS BLVD
Second Line	:	SUITE 10
City	:	ORLANDO
State	:	FL
Zip	:	32819-7221
Country	:	US
Telephone Number	:	407-992-9229
Fax Number	:	877-933-2424

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. THUONG HOAL TRINH
Credential	:	DO
Telephone Number	:	407-992-9229

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	12/08/2010

Similar Medicare Providers

1346254067 — JAMES C. HERNDON JR. DC
Practice Location Address:

7575 DR PHILLIPS BLVD., #110
ORLANDO, FL
32819-7221

Practice Phone: 407-345-0508
Practice Fax: 407-345-0509

1245400910 — GLORY ASSISTED ;LIVING FACILITY
Practice Location Address:

7221 UDINE AVE
ORLANDO, FL
32819-8446

Practice Phone: 407-432-3404
Practice Fax:

1235483876 — DR. VAISHALI P. LADDU A.P.
Practice Location Address:

7575 DR PHILLIPS BLVD STE 120
ORLANDO, FL
32819-7221

Practice Phone: 407-730-9492
Practice Fax:

1164764049 — THE BRAIN FACTORY LLC
Practice Location Address:

7575 DR PHILLIPS BLVD STE 120
ORLANDO, FL
32819-7221

Practice Phone: 407-375-7871
Practice Fax: 407-209-3503

1376968412 — JAMES C HERNDON JR DC P A
Practice Location Address:

7575 DR PHILLIPS BLVD STE 110
ORLANDO, FL
32819-7221

Practice Phone: 407-345-0508
Practice Fax: 407-345-0509

1972901064 — VELEZ FAMILY HEALTH, LLC
Practice Location Address:

7575 DR PHILLIPS BLVD STE 120
ORLANDO, FL
32819-7221

Practice Phone: 407-530-6591
Practice Fax: 855-817-7755

Directions to “EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.