Organization Active NPI

ENT Associates of South Florida LLC

  • Facial Plastic Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1356568307
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
ENT ASSOCIATES OF SOUTH FLORIDA LLC
Practice address
2101 Riverside Dr
Suite 105
Coral Springs, FL 33071-6260
Phone
(954) 345-9191
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Shawn Peter Sabga
Title
Manager
Phone
(954) 755-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

2101 Riverside Dr
Suite 105
Coral Springs, FL 33071-6260

Mailing address

9311 W Sample Rd
Coral Springs, FL 33065-4101
Phone (954) 755-8885

National Provider Directory

National Provider Directory

Locations

2101 Riverside Dr
#105
Pompano Beach, FL 33071
Phone (954) 345-9191

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1356568307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654101",
            "telephone_number": "954-755-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RIVERSIDE DR",
            "address_2": "SUITE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716260",
            "telephone_number": "954-345-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT ASSOCIATES OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "SABGA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-755-8885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.