Organization
DOCTORS PLUS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI WONG (CHIEF EXECUTIVEOFFICER)
(954) 442-2828
Entity
Organization
Contact information
Practice address
501 NW 179TH AVE, PEMBROKE PINES, FL 33029-2807
(954) 442-2828
(954) 442-3366
Mailing address
501 NW 179TH AVE, PEMBROKE PINES, FL 33029-2807
(954) 442-2828
(954) 442-3366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME62898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251887200
—
FL
01
—
602678
DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QALITY ASSURANCE
FL
Enumeration date
03/02/2007
Last updated
11/08/2012
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