Active NPI
Central Florida Ear, Nose and Throat Specialists, PA
- Specialist
- Lake Mary, FL
National Provider Identifier
1275830960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME66400
- Legal business name
- CENTRAL FLORIDA EAR, NOSE AND THROAT SPECIALISTS, PA
- Practice address
- 925 Williston Park PT
1001
Lake Mary, FL 32746-2114 - Phone
- (407) 804-8795
- NPI assigned
- Feb 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Branch, M.D.
- Title
- President
- Phone
- (407) 804-8795
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME66400 | FL | Primary |
Addresses
Primary practice location
925 Williston Park PT
1001
Lake Mary, FL 32746-2114
Mailing address
925 Williston Park PT
1001
Lake Mary, FL 32746-2114
Phone (407) 804-8795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251306400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
75 Fox Ridge Ct
Ste H
Debary, FL 32713
Phone (386) 668-2663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Zephyrhills, FL
- NPI 1649246984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327536000000",
"number": "1275830960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 WILLISTON PARK PT",
"address_2": "1001",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462114",
"telephone_number": "407-804-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 WILLISTON PARK PT",
"address_2": "1001",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462114",
"telephone_number": "407-804-8795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA EAR, NOSE AND THROAT SPECIALISTS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-16",
"last_updated": "2012-01-26",
"status": "A",
"authorized_official_last_name": "BRANCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-804-8795",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME66400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251306400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
- Anna Celeste
- Giovanna Centeno
- Lindsay Cento
- Central Florida Advanced Surgical Care Specialists PLLC
- Central Florida Bone and Joint Institute, PLLC
- Central Florida Foot and Ankle Institute, LLC
- Central Florida Imaging, LLC.
- Central Florida Inpatient Medicine LLC
- Central Florida Medical Staffing, Inc (Right at Home)
- Central Florida Rheumatology Consultants LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.