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Organization
WESTON MEDICAL CLINIC INC
Active
Organization
WESTON MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHANOR CALLE M.D. (PRESIDENT)
(954) 385-9711
Entity
Organization
Contact information
Practice address
17120 ROYAL PALM BLVD, SUITE 4, WESTON, FL 33326-2310
(954) 385-3711
(954) 385-9366
Mailing address
17120 ROYAL PALM BLVD, SUITE 4, WESTON, FL 33326-2310
(954) 385-3711
(954) 385-9366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0073727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255505100
—
FL
Enumeration date
07/18/2006
Last updated
08/30/2010
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