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Organization

OBAND MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH WHALEN (CONSULTANT)
(561) 392-3341
Entity
Organization

Contact information

Practice address
4401 WEST TRADEWINDS AVE, 205, LAUDERDALE BY THE SEA, FL 33308
(954) 900-3635
Mailing address
4401 WEST TRADEWINDS AVE, 205, LAUDERDALE BY THE SEA, FL 33308
(954) 900-3635

Taxonomy

Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
08/20/2012
Last updated
08/20/2012
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