Organization
HUA E. FANG-PATRICK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUA E FANG-PATRICK MD (PEDIATRICIAN)
(954) 499-0572
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE STE 410, MIRAMAR, FL 33029-5614
(954) 499-0572
(954) 499-3523
Mailing address
1951 SW 172ND AVE STE 410, MIRAMAR, FL 33029-5614
(954) 499-0572
(954) 499-3523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252123700
—
FL
Enumeration date
08/11/2014
Last updated
08/11/2014
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