| NPI | 1023283967 |
|---|---|
| Doing Business As | LAKE MARY EAR, NOSE, THROAT & ALLERGY |
| Entity Type | Organization |
| Authorized Contact | CECELIA DAMASK Physician 407-829-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-04-17 |