Organization Active NPI

South Florida ENT Associates Hearing, LLC

  • Otolaryngology Physician
  • Miami Lakes, FL
National Provider Identifier
1356639454
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SOUTH FLORIDA ENT ASSOCIATES HEARING, LLC
Practice address
14750 NW 77TH CT
Suite 200
Miami Lakes, FL 33016-1507
Phone
(305) 558-3724
Fax
(786) 662-3669
NPI assigned
Jul 11, 2011
Last updated
Jul 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Stacey Citrin, MBA
Title
Ceo
Phone
(305) 558-3724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

14750 NW 77TH CT
Suite 200
Miami Lakes, FL 33016-1507

Mailing address

14750 NW 77TH CT
Suite 200
Miami Lakes, FL 33016-1507
Phone (305) 558-3724

National Provider Directory

National Provider Directory

Locations

14750 NW 77th Ct
Ste 200
Miami Lakes, FL 33016

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1356639454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT",
            "address_2": "SUITE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "305-558-3724",
            "fax_number": "786-662-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT",
            "address_2": "SUITE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "305-558-3724",
            "fax_number": "786-662-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA ENT ASSOCIATES HEARING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "CITRIN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-558-3724",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.