Florida Ent Adult & Pediatric PA

NPI #1316908353 in Kissimmee, Florida

Provider Information

NPI Number: 1316908353
Entity Type: Organization
Organization Name: Florida Ent Adult & Pediatric PA
Primary Specialty: Otolaryngology
Enumeration Date: Mar 29, 2006
Last Updated: Nov 9, 2021

Practice Location

Address: 1162 CYPRESS GLEN CIR
City: Kissimmee
State: Florida
ZIP Code: 34741-7560
Phone: (407) 343-9006

Authorized Official

Name: OMAR FADHLI, MD
Title: PHYSICIAN ENT SPECIALIST
Phone: (407) 343-9006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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