Organization
ADVANCED INSTITUTE OF OBSTETRICS AND GYNECOLOGY OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS JOSE MUALIN (PRESIDENT)
(954) 983-2101
Entity
Organization
Contact information
Practice address
1111 N 35TH AVE, HOLLYWOOD, FL 33021-5403
(954) 983-2101
Mailing address
1111 N 35TH AVE, HOLLYWOOD, FL 33021-5403
(954) 983-2101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME86605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266415101
—
FL
01
—
29130
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/26/2007
Last updated
05/19/2008
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