Organization
ELLIOT M WORTZEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT M WORTZEL MD (PRESIDENT)
(954) 473-5304
Entity
Organization
Contact information
Practice address
201 NW 82ND AVE, #305, PLANTATION, FL 33324-7808
(954) 370-1053
Mailing address
201 NW 82ND AVE, #305, PLANTATION, FL 33324-7808
(954) 370-1053
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME22208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351971
—
FL
01
—
100007820
RAILROAD MEDICARE
FL
Enumeration date
10/31/2008
Last updated
08/16/2012
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