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Organization
PHYSICIAN OFFICES OF FLORIDA CITY
Active
Organization
PHYSICIAN OFFICES OF FLORIDA CITY
Active
Other names
Physician Offices of Florida City
Organization subpart
No
Provider details
NPI number
Authorized official
IRA S WELLISCH (VICE PRESIDENT)
(305) 254-8875
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
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0062068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375969500
—
FL
Enumeration date
05/11/2007
Last updated
05/04/2011
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