Individual
WILKENS MONDESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4849 LAKE WORTH RD STE 201, GREENACRES, FL 33463-3462
(561) 784-7014
(561) 784-7922
Mailing address
4849 LAKE WORTH RD STE 201, GREENACRES, FL 33463-3462
(561) 784-7014
(561) 784-7922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME113026
FL
207VG0400X
Gynecology Physician
ME113026
FL
207VM0101X
Maternal & Fetal Medicine Physician
ME113026
FL
207VX0000X
Obstetrics Physician
Primary
ME113026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008353100
—
FL
01
—
HC334
MEDICARE PTAN
FL
01
—
HC334Z
MEDICARE PTAN
FL
Enumeration date
09/16/2011
Last updated
11/27/2023
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