Individual
DR. JONATHAN F WISE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3816 HOLLYWOOD BLVD, SUITE 101, HOLLYWOOD, FL 33021-6750
(954) 963-4990
(954) 963-1848
Mailing address
3816 HOLLYWOOD BLVD, SUITE 101, HOLLYWOOD, FL 33021-6750
(954) 963-4990
(954) 963-1848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MEOO34543
—
Other
Enumeration date
04/19/2006
Last updated
07/09/2007
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