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Individual

WAYNE GERALD RISKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4700 SHERIDAN STREET, SUITE C, HOLLYWOOD, FL 33021
(954) 961-3252
(954) 964-6168
Mailing address
4700 SHERIDAN STREET, SUITE C, HOLLYWOOD, FL 33021
(954) 961-3252
(954) 964-6168

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME0024520
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018369800
FL
Enumeration date
10/02/2006
Last updated
09/02/2021
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