Plantation Ear Nose & Throat PA

NPI #1982793675 in Plantation, Florida

Provider Information

NPI Number: 1982793675
Entity Type: Organization
Organization Name: Plantation Ear Nose & Throat PA
Primary Specialty: Otolaryngology
Enumeration Date: Oct 12, 2006
Last Updated: Dec 20, 2007

Practice Location

Address: 201 NW 82ND AVE
Address 2: SUITE 404
City: Plantation
State: Florida
ZIP Code: 33324-7808
Phone: (954) 472-1212

Authorized Official

Name: DR. HERBERT I MOSELLE, MD
Title: OWNER
Phone: (954) 472-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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