Individual
DR. IHSANE OUANSAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 844-7881
Mailing address
3877 SAN SIMEON CIR, WESTON, FL 33331-5056
(646) 280-6404
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
ME110265
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME110265
FL
Other
Enumeration date
04/15/2009
Last updated
08/16/2011
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