Organization
HAZEL WILEY, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL WILEY D.O. (PHYSICIAN)
(954) 821-0737
Entity
Organization
Contact information
Practice address
4900 W OAKLAND PARK BLVD, SUITE 309, LAUDERDALE LAKES, FL 33313-7500
(954) 821-0737
Mailing address
PO BOX 9834, CORAL SPRINGS, FL 33075-0834
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS 10690
FL
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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