# WILKENS MONDESIR MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467127993
- **Authorized official:** WILKENS MONDESIR MD (OWNER)
- **Authorized official phone:** (561) 784-7014

## Contact information

- **Practice address:** 3717 W BOYNTON BEACH BLVD STE 5, BOYNTON BEACH, FL 33436-4540
- **Practice address phone:** (561) 734-1212
- **Practice address fax:** (561) 734-1443
- **Mailing address:** 4849 LAKE WORTH RD STE 201, GREENACRES, FL 33463-3462
- **Mailing address phone:** (561) 784-7014
- **Mailing address fax:** (561) 784-7922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2021
- **Last updated:** 08/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010956201 | — | FL |