BREVARD EAR NOSE & THROAT CENTER PA (NPI# 1669454278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669454278 |
| Entity Type | Organization |
| Organization Name | BREVARD EAR NOSE & THROAT CENTER PA |
| Practice Address |
1099 Florida Ave S Rockledge FL 32955-2138 |
| Practice Telephone | 3216326900 |
| Practice Fax Number | 3216397222 |
| Mailing Telephone | 3216326900 |
| Mailing Fax Number | 3216397222 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | CAROLYN ARMSTRONG (OFFICE MANAGER) |
| Authorized Official Telephone | 3216326900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
1099 FLORIDA AVE S |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131026 | Thomas Scott Holt | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-18 |
| 1952659799 | Elyse Brooke Amigo | Audiologist | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2012-08-28 |
| 1124288295 | Rachel M Crain | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2008-06-12 |
| 1063685063 | Mary Sue Kyle | Audiologist | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2008-04-10 |
| 1871576033 | David Whitley | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-22 |
| 1659354769 | Hobson Wilson | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-22 |
| 1811979412 | Hance Phillips | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-18 |
| 1528040136 | Ronald Burk | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131026 | Thomas Scott Holt | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-18 |
| 1124288295 | Rachel M Crain | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2008-06-12 |
| 1871576033 | David Whitley | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-22 |
| 1659354769 | Hobson Wilson | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-22 |
| 1811979412 | Hance Phillips | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.