Organization
WELLISCH & WELLISCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA WELLISCH (PRESIDENT)
(305) 254-8875
Entity
Organization
Contact information
Practice address
7220 SW 164TH TER, PALMETTO BAY, FL 33157-2536
(305) 254-8875
Mailing address
7220 SW 164TH TER, PALMETTO BAY, FL 33157-2536
(305) 254-8875
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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