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Organization

BORIKEN FAMILY HEALTH AND WELLNESS CENTER PL

Active
Other names
Boriken Family
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL FERNANDEZ MD (MEDICAL DIRECTOR)
(305) 331-1916
Entity
Organization

Contact information

Practice address
1806 N FLAMINGO RD, SUITE 440, PEMBROKE PINES, FL 33028-1026
(954) 620-0026
(954) 620-0047
Mailing address
1806 N FLAMINGO RD, SUITE 440, PEMBROKE PINES, FL 33028-1026
(954) 620-0026
(954) 620-0047

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME85860
FL
207Q00000X
Family Medicine Physician
Primary
ME86754
FL

Other

Enumeration date
09/23/2009
Last updated
07/15/2010
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