Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 35.126440 | OH |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME128330 | FL |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME128330 | FL |
NPI | 1871811612 |
---|---|
Provider Name | James Russell Bekeny |
First Address | Celebration, FL 34747-5436 |
Second Address | Celebration, FL 34747-5436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2010 |
Last Update Date | 09/07/2020 |