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Organization
NEW RIVER MEDEXPRESS, PLLC
Active
Organization
NEW RIVER MEDEXPRESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRAM WALLS MD (OWNER)
(954) 355-5110
Entity
Organization
Contact information
Practice address
305 S ANDREWS AVE, SUITE 202, FT LAUDERDALE, FL 33301-1859
(954) 355-5110
Mailing address
305 S ANDREWS AVE, SUITE 202, FT LAUDERDALE, FL 33301-1859
(954) 355-5110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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