Organization
SIA UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALKAN PATEL D.O (PRESIDENT)
(954) 644-0284
Entity
Organization
Contact information
Practice address
1777 S ANDREWS AVE, SUITE 201, FORT LAUDERDALE, FL 33316-2517
(954) 533-1104
Mailing address
1777 S ANDREWS AVE, SUITE 201, FORT LAUDERDALE, FL 33316-2517
(954) 533-1104
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000389900
—
FL
01
—
BF912
PTAN
FL
Enumeration date
10/22/2008
Last updated
03/11/2011
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