Ear Nose and Throat Specialists of St Cloud LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OS10261 Issued in FL

Legal business name

EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC

Practice address

7575 Dr. Phillips Blvd
Suite 10
Orlando, FL 32819-7221

Phone

(407) 992-9229

Fax

(877) 933-2424

NPI assigned

Aug 4, 2008

Organization subpart

Yes

Parent organization

EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLCAs reported in NPPES

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

Authorized official

Name

Dr. Thuong Hoal Trinh, DO

Title

Physician/Owner

Phone

(407) 992-9229

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Ear Nose and Throat Special

Locations

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1982860482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 DR. PHILLIPS BLVD",
            "address_2": "SUITE 10",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197221",
            "telephone_number": "407-992-9229",
            "fax_number": "877-933-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 DR. PHILLIPS BLVD",
            "address_2": "SUITE 10",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197221",
            "telephone_number": "407-992-9229",
            "fax_number": "877-933-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAR NOSE AND THROAT SPECIALISTS OF ST CLOUD LLC",
        "enumeration_date": "2008-08-04",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "THUONG",
        "authorized_official_middle_name": "HOAL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-992-9229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "OS 10261",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "OS10261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488466",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Orlando, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.