Individual
JOANNA P WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
5858 SW 68TH ST, SOUTH MIAMI, FL 33143-3693
(305) 357-1711
Mailing address
5858 SW 68TH ST, SOUTH MIAMI, FL 33143-3693
(305) 661-8588
(305) 661-4906
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
510101017234
MI
207W00000X
Ophthalmology Physician
Primary
OS11370
FL
Other
Enumeration date
01/22/2008
Last updated
03/07/2018
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