Amelia Ear Nose & Throat PC

NPI #1215126586 in Fernandina, Florida

Provider Information

NPI Number: 1215126586
Entity Type: Organization
Organization Name: Amelia Ear Nose & Throat PC
Primary Specialty: Otolaryngology
Enumeration Date: Oct 23, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 1340 S 18TH ST
Address 2: SUITE 102
City: Fernandina
State: Florida
ZIP Code: 32034-4733
Phone: (904) 321-1417

Authorized Official

Name: DR. WILLIAM BAUER, M.D.
Title: OWNER
Phone: (904) 321-1417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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