Provider Demographics
NPI:1215126123
Name:ENT CONSULTANTS OF THE PALM BEACHES, PA
Entity type:Organization
Organization Name:ENT CONSULTANTS OF THE PALM BEACHES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:EMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-848-5579
Mailing Address - Street 1:927 45TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2450
Mailing Address - Country:US
Mailing Address - Phone:561-848-5579
Mailing Address - Fax:561-848-9269
Practice Address - Street 1:927 45TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2450
Practice Address - Country:US
Practice Address - Phone:561-848-5579
Practice Address - Fax:561-848-9269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU63706Medicare UPIN
FLH89992Medicare UPIN
FLD27374Medicare UPIN