Organization
WILKENS MONDESIR MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILKENS MONDESIR M.D. (OWNER)
(561) 389-4881
Entity
Organization
Contact information
Practice address
4849 LAKE WORTH RD STE 201, GREENACRES, FL 33463-3462
(561) 784-7014
(561) 784-7922
Mailing address
4849 LAKE WORTH RD STE 201, GREENACRES, FL 33463-3462
(561) 784-7014
(561) 784-7922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME113026
FL
207VG0400X
Gynecology Physician
ME113026
FL
207VM0101X
Maternal & Fetal Medicine Physician
ME113026
FL
207VX0000X
Obstetrics Physician
Primary
ME113026
FL
261QM1300X
Multi-Specialty Clinic/Center
ME113026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010956200
—
FL
Enumeration date
11/09/2012
Last updated
08/16/2021
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