St. Augustine Ear, Nose & Throat, L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS8839 Issued in FL

Legal business name

ST. AUGUSTINE EAR, NOSE & THROAT, L.L.C.

Practice address

1301 Plantation Island Drive
Unit 401
Saint Augustine, FL 32080

Phone

(904) 461-6060

Fax

(904) 461-6622

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Kalpana S Depasquale, DO

Title

Owner

Phone

(904) 461-6060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1699708735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DRIVE",
            "address_2": "UNIT 401",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "904-461-6060",
            "fax_number": "904-461-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DRIVE",
            "address_2": "UNIT 401",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "904-461-6060",
            "fax_number": "904-461-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AUGUSTINE EAR, NOSE & THROAT, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "DEPASQUALE",
        "authorized_official_first_name": "KALPANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-461-6060",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS8839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.