Organization
PHYSICIANS PARK MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAW O ABU (PRESIDENT)
(561) 992-2316
Entity
Organization
Contact information
Practice address
124 SW 1ST ST, BELLE GLADE, FL 33430-3472
(561) 992-2316
(561) 993-3860
Mailing address
12333 EQUINE LN, WELLINGTON, FL 33414-3503
(561) 992-2316
(561) 993-3860
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME71517
FL
208000000X
Pediatrics Physician
ME73613
FL
Other
Enumeration date
04/10/2007
Last updated
03/20/2013
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