# MEDIPLUS CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mediplus Clinic, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801303847
- **Authorized official:** JUDY NELSON CS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (561) 207-7663

## Contact information

- **Practice address:** 151-155 SW 6TH STREET, POMPANO BEACH, FL 33060
- **Practice address phone:** (561) 207-7663
- **Practice address fax:** (561) 516-6959
- **Mailing address:** 151-155 SW 6TH STREET, POMPANO BEACH, FL 33060
- **Mailing address phone:** (561) 207-7663
- **Mailing address fax:** (561) 516-6959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2017
- **Last updated:** 12/29/2017