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Organization
WILKENS MONDESIR MD, PA
Active
Organization
WILKENS MONDESIR MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILKENS MONDESIR MD (OWNER)
(561) 784-7014
Entity
Organization
Contact information
Practice address
3717 W BOYNTON BEACH BLVD STE 5, BOYNTON BEACH, FL 33436-4540
(561) 734-1212
(561) 734-1443
Mailing address
4849 LAKE WORTH RD STE 201, GREENACRES, FL 33463-3462
(561) 784-7014
(561) 784-7922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010956201
—
FL
Enumeration date
08/16/2021
Last updated
08/16/2021
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