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Organization
ADVANCED INSTITUTE OF OBSTETRICS AND GYNECOLOGY OF SOUTH FLORIDA
Active
Organization
ADVANCED INSTITUTE OF OBSTETRICS AND GYNECOLOGY OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS JOSE MUALIN (PRESIDENT)
(954) 983-2101
Entity
Organization
Contact information
Practice address
1111 N 35TH AVE, HOLLYWOOD, FL 33021-5403
(954) 983-2101
Mailing address
1111 N 35TH AVE, HOLLYWOOD, FL 33021-5403
(954) 983-2101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME86605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266415101
—
FL
01
—
29130
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/26/2007
Last updated
05/19/2008
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