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Organization
CYNTHIA WIGUTOW RD LLC
Active
Organization
CYNTHIA WIGUTOW RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WIGUTOW MS, RDN, CSO, LDN (DIETITIAN)
(954) 614-5971
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 170, HOLLYWOOD, FL 33021-5424
(954) 265-7028
Mailing address
3470 N 31ST AVE, HOLLYWOOD, FL 33021-2659
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
Primary
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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