OrganizationActive
Ent Group, LLC
NPI 1912779984 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Miami, FL
Provider details
- NPI number
- 1912779984
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ent Group, LLC
- Organization subpart
- Yes
- Authorized official
- Octavio Carreno, Manager(305) 859-0569
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Practice location
7190 Sw 87th Ave Ste 403
Miami, FL 33173-2512
Phone: (305) 456-0772
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Sw 69th Ave
Miami, FL 33155-2919
Registry dates
- Enumerated
- 2023-10-24
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.