Putnam E N T Pa

LBN: Putnam E N T Pa
Putnam E N T Pa is an health care organization with primary practice located at 320 Zeagler Dr Ste 1, Palatka FL 32177-6851. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Putnam E N T Pa can be contacted via phone (386) 325-1565, or through Charles, Glenwood Antonio via phone (386) 325-1565.

Contact Information

Primary practice address
320 Zeagler Dr Ste 1 Palatka FL 32177-6851
Phone: (386) 325-1565
Fax: (386) 325-1571
Website:
Map and Directions
Authorized official contact:
Name: Charles, Glenwood Antonio Doctor of Medicine (MD)
Phone: (386) 325-1565

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0050554 Florida

Profile Details

NPI number 1467648279
LBN Legal business name Putnam E N T Pa
DBA Doing business as
Authorized official Charles, Glenwood Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2007
Last updated Apr 2nd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467648279 NPPES
Florida MEDICAID 064059000

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