Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Ear Nose & Throat PA

Organization Otolaryngology Physician · NPI 1710932405

Atlantic Ear Nose & Throat PA is an Otolaryngology Physician in Orange City, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

963 Town Center Dr Ste 100
Orange City, FL 32763-8254
Phone: (386) 774-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1710932405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devang Shah — President · (386) 774-9880
NPI enumeratedMay 23, 2006
Last updated in NPPESSeptember 29, 2011
Mailing addressPo Box 953577, Lake Mary, FL 32795-3577

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