Brandon Area Ear, Nose and Throat, P.a.

NPI #1730375395 in Brandon, Florida

Provider Information

NPI Number: 1730375395
Entity Type: Organization
Organization Name: Brandon Area Ear, Nose and Throat, P.a.
Primary Specialty: Specialist
Enumeration Date: Sep 18, 2007
Last Updated: Sep 18, 2007

Practice Location

Address: 721 W ROBERTSON ST
Address 2: SUITE 108
City: Brandon
State: Florida
ZIP Code: 33511-4934
Phone: (813) 684-4221

Authorized Official

Name: DR. STEPHEN L YAVELOW, M.D.
Title: PHYSICIAN
Phone: (813) 684-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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