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Organization

PHYSICIAN OFFICES OF FLORIDA CITY

Active
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Organization

PHYSICIAN OFFICES OF FLORIDA CITY

Active
Parent organization
PHYSICIAN OFFICES OF FLORIDA CITY
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHYSICIAN OFFICES OF FLORIDA CITY
Authorized official
MR. IRA WELLISCH (VICE PRESIDENT)
(305) 242-0883
Entity
Organization

Contact information

Practice address
646 WEST PALM DRIVE, FLORIDA CITY, FL 33034
(305) 242-0883
(305) 242-9523
Mailing address
646 WEST PALM DRIVE, FLORIDA CITY, FL 33034
(305) 242-0883
(305) 242-9523

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9611161
—
207Q00000X
Family Medicine Physician
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375969500
—
FL
Enumeration date
05/16/2007
Last updated
07/16/2008
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