Organization
INFECTIOUS DISEASES ASSOCIATES OF FORT LAUDERDALE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A RENAE M.D. (PHYSICIAN - PRESIDENT/OWNER)
(954) 772-7773
Entity
Organization
Contact information
Practice address
4750 N. FEDERAL HIGHWAY, SUITE 200, FT. LAUDERDALE, FL 33308
(954) 772-7773
(954) 772-2221
Mailing address
4750 N. FEDERAL HIGHWAY, SUITE 200, FT. LAUDERDALE, FL 33308
(954) 772-7773
(954) 772-2221
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255060100
—
FL
Enumeration date
12/29/2006
Last updated
08/31/2010
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