Organization Active NPI

ENT and Allergy Associates of Florida, LLC

  • Otolaryngology Physician
  • Boca Raton, FL
National Provider Identifier
1548701840
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC
Practice address
900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2335
Phone
(561) 338-3267
Fax
(561) 391-4420
NPI assigned
Mar 20, 2017
Organization subpart
Yes
Parent organization
ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Kelly Durland
Title
Director
Phone
(561) 338-3267

Specialties & licenses 1

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

Addresses

Primary practice location

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2335

Mailing address

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2335
Phone (561) 338-3267

National Provider Directory

National Provider Directory
Tax ID family
Ear Nose Throat Assoc2 organizations share this tax ID, including this one
Part of
Ear Nose Throat Assoc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1548701840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NW 13TH ST",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862335",
            "telephone_number": "561-338-3267",
            "fax_number": "561-391-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 13TH ST",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862335",
            "telephone_number": "561-338-3267",
            "fax_number": "561-391-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "DURLAND",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-338-3267"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.