# WESTERN AND EASTERN MEDICAL FL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710751805
- **Authorized official:** JOSEPHINE WU (ADMINISTRATOR)
- **Authorized official phone:** (718) 213-6274

## Contact information

- **Practice address:** 1441 NE 4TH AVE, FORT LAUDERDALE, FL 33304
- **Practice address phone:** (718) 213-6274
- **Practice address fax:** (888) 377-1244
- **Mailing address:** 1441 NE 4TH AVE, FORT LAUDERDALE, FL 33304
- **Mailing address phone:** (718) 213-6274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZP0007X | Molecular Genetic Pathology (Pathology) Physician | — | NULL | — |
| 207ZP0007X | Molecular Genetic Pathology (Pathology) Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/09/2023
- **Last updated:** 11/09/2023