Active NPI
ENT Faculty Group
- Otolaryngology Physician
- Deerfield Beach, FL
National Provider Identifier
1760338842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- ENT FACULTY GROUP
- Practice address
- 201 E Sample Rd
Deerfield Beach, FL 33064-3502 - Phone
- (954) 444-0668
- NPI assigned
- Mar 10, 2026
- Last updated
- Mar 10, 2026
- 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
- Wilson Dumornay, MD
- Title
- Authorized Representative
- Phone
- (954) 675-4401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | NU | Primary |
Addresses
Primary practice location
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Mailing address
2307 W Broward Blvd Ste 201
Ft Lauderdale, FL 33312-1420
Phone (954) 444-0668
Other practice location 1
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 444-0668
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1760338842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 W BROWARD BLVD STE 201",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333121420",
"telephone_number": "954-444-0668",
"fax_number": "954-541-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E SAMPLE RD",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330643502",
"telephone_number": "954-444-0668"
}
],
"practiceLocations": [
{
"address_1": "1600 S Andrews Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333162510",
"country_code": "US",
"telephone_number": "954-444-0668",
"fax_number": "754-200-2933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENT FACULTY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "DUMORNAY",
"authorized_official_first_name": "WILSON",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "954-675-4401",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.