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

Ear Nose & Throat Institute Facial Surgery Group PA

Organization Otolaryngology Physician · NPI 1124141312

Ear Nose & Throat Institute Facial Surgery Group PA is an Otolaryngology Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

13691 Metro Pkwy Ste 420
Fort Myers, FL 33912-4327
Phone: (239) 768-7332
Fax: (239) 768-2197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME42748 (FL)

Record details

NPI number1124141312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harold Kushner — President · (239) 768-7332
NPI enumeratedApril 10, 2007
Last updated in NPPESJune 28, 2012
Mailing addressPo Box 7518, Fort Myers, FL 33911-7518

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