Organization
HIBISCUS WOMEN'S CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH WISDOM (OFFICE MANAGER)
(321) 724-2229
Entity
Organization
Contact information
Practice address
330 E HIBISCUS BLVD, MELBOURNE, FL 32901-3155
(321) 724-2229
Mailing address
330 E HIBISCUS BLVD, MELBOURNE, FL 32901-3155
(321) 724-2229
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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