OrganizationActive
Atlantic Ent LLC
NPI 1427203348 · Otolaryngic Allergy Physician · Cocoa Beach, FL
Provider details
- NPI number
- 1427203348
- Entity type
- Organization
- Primary specialty
- Otolaryngic Allergy PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Widick, Sole Mbr(321) 799-9797
- License
- ME0061454 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
333 W Cocoa Beach Cswy Ste B
Cocoa Beach, FL 32931-3513
Phone: (321) 799-9797
Fax: (321) 799-3393
Approximate (ZIP-level) locationGet directions
Mailing address
333 W Cocoa Beach Cswy Ste B
Cocoa Beach, FL 32931-3513
Registry dates
- Enumerated
- 2008-11-19
- Last updated
- 2008-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.