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Organization
WESTERN COMMUNITIES INTERNAL MEDICINE CORP
Active
Organization
WESTERN COMMUNITIES INTERNAL MEDICINE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO F GUILLEN MD (PRESIDENT/OWNER)
(561) 385-7004
Entity
Organization
Contact information
Practice address
10115 FOREST HILL BLVD, SUITE 104, WELLINGTON, FL 33414-3105
(561) 793-1117
(561) 793-1762
Mailing address
10115 FOREST HILL BLVD, SUITE 104, WELLINGTON, FL 33414-3105
(561) 793-1117
(561) 793-1762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME84093
FL
Other
Enumeration date
04/10/2008
Last updated
06/21/2018
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