Provider Demographics
NPI:1790775112
Name:BROWARD ENT CONSULTANTS LLC
Entity Type:Organization
Organization Name:BROWARD ENT CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RAM
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:MADASU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-755-4002
Mailing Address - Street 1:5511 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4646
Mailing Address - Country:US
Mailing Address - Phone:954-755-4002
Mailing Address - Fax:954-755-5010
Practice Address - Street 1:5511 N UNIVERSITY DR
Practice Address - Street 2:SUITE 101B
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4646
Practice Address - Country:US
Practice Address - Phone:954-755-4002
Practice Address - Fax:954-755-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85117207Y00000X, 207YP0228X, 207YS0123X, 207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric OtolaryngologyGroup - Single Specialty
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51399AOtherBCBS
FLF98788Medicare UPIN
FLK3850Medicare ID - Type Unspecified