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Organization

SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WINSTON O BLISS MD (PRESIDENT)
(954) 522-2979
Entity
Organization

Contact information

Practice address
4101 NW 4TH ST, SUITE 306, PLANTATION, FL 33317-2840
(954) 522-2979
(954) 903-0633
Mailing address
PO BOX 945953, ATLANTA, GA 30394-5953
(954) 522-2979
(954) 903-0633

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME71138
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276564100
FL
Enumeration date
08/29/2006
Last updated
07/10/2012
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