Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME60166 | FL |
NPI | 1003874223 |
---|---|
Provider Name | Dr. William Stuart Slomka |
First Address | Palm Springs, FL 33461-2111 |
Second Address | Palm Springs, FL 33461-2111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E90176 | (02) | FL |