Ent Group, LLC

NPI #1912779984 in Miami, Florida

Provider Information

NPI Number: 1912779984
Entity Type: Organization
Organization Name: Ent Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ENT GROUP, LLC
Primary Specialty: Otolaryngology - Plastic Surgery within the Head & Neck
Enumeration Date: Oct 24, 2023
Last Updated: Oct 24, 2023

Practice Location

Address: 7190 SW 87TH AVE STE 403
City: Miami
State: Florida
ZIP Code: 33173-2512
Phone: (305) 456-0772

Authorized Official

Name: OCTAVIO DE JESUS CARRENO
Title: MANAGER
Phone: (305) 859-0569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X
Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck	207YX0007X	Primary

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