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Organization
WILTZ MEDICAL GROUP INC
Active
Organization
WILTZ MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTHON H WILTZ MD (PRESIDENT)
(305) 554-8888
Entity
Organization
Contact information
Practice address
1401 SW 107TH AVE, SUITE 301J, MIAMI, FL 33174-2524
(305) 223-9800
(305) 223-9810
Mailing address
1401 SW 107TH AVE, SUITE 301J, MIAMI, FL 33174-2524
(305) 223-9800
(305) 223-9810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
07/16/2008
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