Atlantic Ent LLC
NPI #1427203348 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1427203348
- Entity Type
- Organization
- Organization Name
- Atlantic Ent LLC
- Primary Specialty
- Otolaryngology - Otolaryngic Allergy
- Enumeration Date
- Nov 19, 2008
- Last Updated
- Nov 19, 2008
Practice Location
- Address
- 333 W COCOA BEACH CSWY STE B
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-3513
- Phone
- (321) 799-9797
Authorized Official
- Name
- DR. MICHAEL PAUL WIDICK, M.D.
- Title
- SOLE MBR
- Phone
- (321) 799-9797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology - Otolaryngic Allergy — Otolaryngic Allergy |
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