Organization
ISRAEL L. WACKS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISRAEL LOUIS WACKS M.D. (PRESIDENT)
(561) 743-2450
Entity
Organization
Contact information
Practice address
210 JUPITER LAKES BLVD, STE 5201, JUPITER, FL 33458-7191
(561) 743-2450
(561) 744-7090
Mailing address
PO BOX 221311, WEST PALM BEACH, FL 33422-1311
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0053751
FL
Other
Enumeration date
12/09/2010
Last updated
12/13/2016
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