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Organization
WISE OPHTHALMOLOGY GROUP, P.A.
Active
Organization
WISE OPHTHALMOLOGY GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN F. WISE M.D. (OWNER)
(954) 963-4990
Entity
Organization
Contact information
Practice address
3816 HOLLYWOOD BLVD, STE 101, HOLLYWOOD, FL 33021-6750
(954) 963-4990
(954) 963-1848
Mailing address
3816 HOLLYWOOD BLVD, STE 101, HOLLYWOOD, FL 33021-6750
(954) 963-4990
(954) 963-1848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
034543
FL
Other
Enumeration date
06/21/2007
Last updated
01/25/2008
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