Provider Demographics
NPI:1508692260
Name:EAR NOSE THROAT AND SINUS CENTER OF SOUTH FLORIDA, INC.
Entity type:Organization
Organization Name:EAR NOSE THROAT AND SINUS CENTER OF SOUTH FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-270-3033
Mailing Address - Street 1:20 SE 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2058
Mailing Address - Country:US
Mailing Address - Phone:954-270-3033
Mailing Address - Fax:954-678-2592
Practice Address - Street 1:3039 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5536
Practice Address - Country:US
Practice Address - Phone:955-900-1497
Practice Address - Fax:954-678-2592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty