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PUTNAM E N T PA
NPI 1467648279
Specialist in Palatka, FL

Active since September 15, 2007
320 ZEAGLER DR, STE 1, PALATKA, FL 32177(386) 325-1565(386) 325-1571 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Putnam E N T Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUTNAM E N T PA (NPI 1467648279) is a healthcare organization registered as a specialist in Palatka, Florida and active in the NPI registry since September 2007. The organization lists Glenwood Antonio Charles, President, as its authorized official.

NPPES Registry Identity

NPI1467648279
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePUTNAM E N T PA
Location Address320 ZEAGLER DR, STE 1Palatka, FL 32177-6851
Mailing Address320 Zeagler Dr, Ste 1Palatka, FL 32177-6851 · (386) 325-1565 · Fax (386) 325-1571
Phone(386) 325-1565
Fax(386) 325-1571
Organization SubpartNo
Authorized OfficialGlenwood Antonio CharlesPresident · (386) 325-1565
Enumeration DateSeptember 15, 2007
Last NPPES UpdateApril 2, 2009
✔ NPI 1467648279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0050554
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
320 ZEAGLER DR, Palatka, FL 32177
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Other Identifiers 3

Medicaid064059000FL
Medicare UPIND95362FL
Medicare PIN10676ZFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Putnam E N T PA's NPI number?

The NPI number for Putnam E N T PA is 1467648279. It was assigned to this organization in the NPPES registry on September 15, 2007.

Where is Putnam E N T PA located?

Putnam E N T PA is located at 320 Zeagler Dr Ste 1, Palatka, FL 32177. The listed phone number is (386) 325-1565.

What is Putnam E N T PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Putnam E N T PA was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.