Provider Demographics
NPI:1285888388
Name:PLATINUM EAR, NOSE, AND THROAT, P.A.
Entity type:Organization
Organization Name:PLATINUM EAR, NOSE, AND THROAT, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:I
Authorized Official - Last Name:PARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-495-2002
Mailing Address - Street 1:13660 JOG RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3806
Mailing Address - Country:US
Mailing Address - Phone:561-495-2002
Mailing Address - Fax:
Practice Address - Street 1:13660 JOG RD
Practice Address - Street 2:SUITE 3
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3806
Practice Address - Country:US
Practice Address - Phone:561-495-2002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8153207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH30979Medicare UPIN