Organization
AHKA MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTHON H WILTZ MD (PRESIDENT)
(305) 225-2466
Entity
Organization
Contact information
Practice address
8370 W FLAGLER ST, SUITE 222, MIAMI, FL 33144-2094
(305) 225-2466
(305) 225-2467
Mailing address
8370 W FLAGLER ST, SUITE 222, MIAMI, FL 33144-2094
(305) 225-2466
(305) 225-2467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME18675
FL
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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