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Organization

FALL SOLUTIONS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEREMY WAXMAN (COO)
(954) 455-2132
Entity
Organization

Contact information

Practice address
2100 E HALLANDALE BEACH BLVD STE 301, HALLANDALE BEACH, FL 33009-3771
(954) 455-2132
Mailing address
2100 E HALLANDALE BEACH BLVD STE 301, HALLANDALE BEACH, FL 33009-3771
(954) 455-2132

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME0038105
FL
207Q00000X
Family Medicine Physician
Primary
OS7932
FL

Other

Enumeration date
11/16/2006
Last updated
09/27/2007
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