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Organization
OAKLAND PARK WELLNESS CENTER
Active
Organization
OAKLAND PARK WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KODZIK APRN (CO-OWNER)
(954) 309-5736
Entity
Organization
Contact information
Practice address
3857 POWERLINE RD, OAKLAND PARK, FL 33309-5067
(954) 635-2900
Mailing address
3857 POWERLINE RD, OAKLAND PARK, FL 33309-5067
(954) 635-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073654281
—
FL
05
—
1316344484
—
FL
Enumeration date
02/11/2020
Last updated
02/11/2020
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