MEDICARE: CENTRAL FLORIDA ENT ASSOCIATES, P.A.

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	174400000X	Specialist

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	:	1992812531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA ENT ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 878
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33836-0878
Country	:	US
Telephone Number	:	689-223-3898
Fax Number	:	689-223-3898

Provider Business Practice Location Address
First Line	:	515 E GARDEN ST
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-4615
Country	:	US
Telephone Number	:	863-683-5454
Fax Number	:	863-683-4652

Authorized Official
Title or Position	:	COO
Name	:	DAVID ROMANELLO
Credential	:
Telephone Number	:	352-459-3661

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	03/06/2025

Similar Medicare Providers

1386600187 — DR. BERNARDO FRANCISCO MALAGA MD
Practice Location Address:

515 E GARDEN ST STE B
LAKELAND, FL
33805-4615

Practice Phone: 863-588-4775
Practice Fax: 863-422-7664

1962408666 — DR. ELIZABETH CUEVAS VARELA M.D.
Practice Location Address:

515 E GARDEN ST STE B
LAKELAND, FL
33805-4615

Practice Phone: 863-588-4775
Practice Fax: 863-422-7664

1629062393 — DR. RATNAMANI LINGAMALLU M.D.
Practice Location Address:

515 E GARDEN ST
LAKELAND, FL
33805-4615

Practice Phone: 863-683-5454
Practice Fax: 863-683-4652

1659365161 — RICHARD D NICHOLS M.D.
Practice Location Address:

515 E GARDEN ST
LAKELAND, FL
33805-4615

Practice Phone: 863-683-5454
Practice Fax: 863-683-4652

1184607533 — VICTORIA CORNISH A.R.N.P.
Practice Location Address:

515 E GARDEN ST
LAKELAND, FL
33805-4615

Practice Phone: 863-683-5454
Practice Fax: 863-683-4652

1659551315 — MRS. MARCY G. O'BRIEN M.A. CCC-A, F-AAA
Practice Location Address:

515 E GARDEN ST
LAKELAND, FL
33805-4615

Practice Phone: 863-683-5454
Practice Fax: 863-683-4652

Directions to “CENTRAL FLORIDA ENT ASSOCIATES, P.A. ” 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 © 2007-2025 (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.