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Organization
MIDLAND MEDICAL BROWARD LLC
Active
Organization
MIDLAND MEDICAL BROWARD LLC
Active
Other names
Midland Wellness Centers
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH J LEE DO (DIRECTOR)
(954) 565-0875
Entity
Organization
Contact information
Practice address
1421 E OAKLAND PARK BLVD STE 200, OAKLAND PARK, FL 33334-4434
(954) 565-0875
(954) 565-0876
Mailing address
1421 E OAKLAND PARK BLVD STE 200, OAKLAND PARK, FL 33334-4434
(954) 565-0875
(954) 565-0876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170442
HUMANA
FL
01
—
2342763
AETNA HMO
FL
01
—
7258838
AETNA
FL
01
—
97941
BCBS
FL
Enumeration date
01/24/2007
Last updated
09/05/2023
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