Provider Demographics
NPI:1548701840
Name:ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC
Entity type:Organization
Organization Name:ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DURLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-338-3267
Mailing Address - Street 1:900 NW 13TH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2335
Mailing Address - Country:US
Mailing Address - Phone:561-338-3267
Mailing Address - Fax:561-391-4420
Practice Address - Street 1:900 NW 13TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2335
Practice Address - Country:US
Practice Address - Phone:561-338-3267
Practice Address - Fax:561-391-4420
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-20
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty