Organization
PHYSICIAN OFFICES OF FLORIDA CITY
Active
Other names
Physician Offices of Florida City
Organization subpart
No
Provider details
NPI number
Authorized official
IRA S WELLISCH (VICE PRESIDENT)
(305) 254-8875
Entity
Organization
Contact information
Practice address
646 WEST PALM DRIVE, FLORIDA CITY, FL 33034
(305) 242-0883
(305) 242-9523
Mailing address
646 WEST PALM DRIVE, FLORIDA CITY, FL 33034
(305) 242-0883
(305) 242-9523
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0062068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375969500
—
FL
Enumeration date
05/11/2007
Last updated
05/04/2011
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