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Organization
MIAMI WLP, LLC
Active
Organization
MIAMI WLP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA WELLISCH (COO)
(786) 201-5575
Entity
Organization
Contact information
Practice address
5405 OKEECHOBEE BLVD STE 205, WEST PALM BEACH, FL 33417-4544
(561) 594-0551
Mailing address
5405 OKEECHOBEE BLVD STE 205, WEST PALM BEACH, FL 33417-4544
(561) 594-0551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
10/27/2021
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