Organization
INTERACTIVEMD LLC
Active
Parent organization
ONCALL ONLINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONCALL ONLINE LLC
Authorized official
MR. GARY WALD MBA (CHIEF OPERATING OFFICER)
(888) 657-2560
Entity
Organization
Contact information
Practice address
5300 BROKEN SOUND BLVD NW, SUITE 200, BOCA RATON, FL 33487-3520
(888) 657-2560
(561) 998-2057
Mailing address
5300 BROKEN SOUND BLVD NW, SUITE 200, BOCA RATON, FL 33487-3520
(888) 657-2560
(561) 998-2057
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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