Organization
DEVOTED MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL WAGLE MD (CMO)
(617) 256-6666
Entity
Organization
Contact information
Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
01/03/2025
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