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

Tallahassee Ear, Nose & Throat-Head & Neck Surgery, PA

Organization Otolaryngology Physician · NPI 1790797728

Tallahassee Ear, Nose & Throat-Head & Neck Surgery, PA is an Otolaryngology Physician in Tallahassee, 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

1405 Centerville Rd Ste 5400
Tallahassee, FL 32308-4655
Phone: (850) 877-0101
Fax: (850) 877-2750
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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 number1790797728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Quackenbush — Administrator · (850) 877-0101
NPI enumeratedAugust 11, 2006
Last updated in NPPESAugust 12, 2011
Mailing address1405 Centerville Road, Suite 5400, Tallahassee, FL 32308-4629

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