Provider Demographics
NPI:1336354307
Name:SOUTH FLORIDA OTOLARYNGOLOGY ASSOCIATES INC.
Entity Type:Organization
Organization Name:SOUTH FLORIDA OTOLARYNGOLOGY ASSOCIATES INC.
Other - Org Name:WILLIAM SLOMKA MD, PA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:SLOMKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-966-4100
Mailing Address - Street 1:3015 S CONGRESS AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2111
Mailing Address - Country:US
Mailing Address - Phone:561-966-9611
Mailing Address - Fax:561-966-4160
Practice Address - Street 1:3015 S CONGRESS AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2111
Practice Address - Country:US
Practice Address - Phone:561-966-9611
Practice Address - Fax:561-966-4160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60166207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX IDENTIFICATION NUMBER
FL21360Medicare ID - Type Unspecified
FLE90176Medicare UPIN