Organization
ANWAR VARDAG MD PA
Active
Parent organization
ANWAR M VARDAG MM PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANWAR M VARDAG MM PA
Authorized official
ANWAR VARDAG MD (PRESIDENT)
(561) 488-8368
Entity
Organization
Contact information
Practice address
21644 STATE ROAD 7, BOCA RATON, FL 33428-1842
(561) 488-8000
Mailing address
6156 NW 31ST AVE, BOCA RATON, FL 33496-3374
(888) 382-5603
(727) 523-8093
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME61792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15151
BC BS ID NUMBER
FL
05
—
370444100
—
FL
Enumeration date
10/12/2006
Last updated
02/09/2015
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