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Individual

EZRA FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 E BROWARD BLVD, FT LAUDERDALE, FL 33301-2012
(954) 463-5271
Mailing address
2952 W BIRCHWOOD AVE, CHICAGO, IL 60645-1220
(773) 465-4238

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS19328
FL

Other

Enumeration date
04/01/2020
Last updated
06/03/2024
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