Organization
PATRICIA TANYA WADE MD, LLC
Active
Organization
PATRICIA TANYA WADE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA WADE-GIBBS M.D (OWNER)
(954) 965-1119
Entity
Organization
Contact information
Practice address
2301 N UNIVERSITY DR, SUITE 207, PEMBROKE PINES, FL 33024-3617
(954) 965-1119
(954) 965-0119
Mailing address
PO BOX 823902, PEMBROKE PINES, FL 33082
(954) 965-1119
(954) 965-0119
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
11/09/2007
Last updated
04/16/2014
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