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Organization

NEW HORIZONS MEDICAL OB/GYN CONSULTANT,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAYNE P DIGIACOMO MD (PHYSICIAN)
(954) 456-4888
Entity
Organization

Contact information

Practice address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721
Mailing address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME34571
FL

Other

Enumeration date
03/17/2010
Last updated
03/17/2010
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