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Organization

PW FAMILY LIMITED PARTNERSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUTHY EPELBAUM (ACCOUNT MANAGER)
(305) 613-9317
Entity
Organization

Contact information

Practice address
1404 E. BROWARD BOULEVARD, FORT LAUDERDALE, FL 33301
(954) 463-7088
(954) 463-8766
Mailing address
1404 EAST BROWARD BLVD, FORT LAUDERDALE, FL 33301
(954) 463-7088
(954) 463-8766

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME007810
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257578700
FL
Enumeration date
08/10/2012
Last updated
01/31/2022
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