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Organization

VENETIAN ISLE MEDICAL OB GYN CONSULTANT INC

Active
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Organization

VENETIAN ISLE MEDICAL OB GYN CONSULTANT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAYNE P. DIGIACOMO M.D. (PRESIDENT)
(954) 456-4888
Entity
Organization

Contact information

Practice address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721
Mailing address
3001 WEST HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5158
(954) 456-4888
(954) 456-9721

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME34571
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376942900
—
FL
Enumeration date
03/02/2007
Last updated
06/02/2008
About Stedi
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