Individual
SIMON WANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
C/O BROWARD GENERAL MEDICAL CENTER, 1600 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316
(954) 355-4400
Mailing address
C/O ANESCO NORTH BROWARD LLC, 3601 W COMMERCIAL BLVD STE 45, FORT LAUDERDALE, FL 33309
(954) 485-5666
(954) 484-1651
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME94147
FL
Other
Enumeration date
07/18/2006
Last updated
07/21/2022
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