FLORIDA ENT ADULT & PEDIATRICS, PA

KISSIMMEE, FL
NPI1972905099
Entity TypeOrganization
Authorized ContactOMAR FADHLI
Owner
407-343-9006
Organization Subpart ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PAT 9108176)
Enumeration Date2014-09-19
Last Update Date2014-09-19
Business Address
FLORIDA ENT ADULT & PEDIATRICS, PA
1162 CYPRESS GLEN CIR
KISSIMMEE, FL 34741-7560
Phone number: 407-343-9006
Mailing Address
FLORIDA ENT ADULT & PEDIATRICS, PA
1162 CYPRESS GLEN CIR
KISSIMMEE, FL 34741-7560
Phone number: 407-343-9006