Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME82027 | FL |
N | 207YP0228X | Pediatric Otolaryngology | ME82027 | FL |
N | 207YS0123X | Facial Plastic Surgeon | ME82027 | FL |
NPI | 1710935911 |
---|---|
Provider Name | Matthew D Byers |
First Address | Sarasota, FL 34232-6056 |
Second Address | Sarasota, FL 34232-6056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 06/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
261528200 | (05) | FL |
H20358 | (02) |