Individual
KHALIL WARDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 SW 31ST AVE, FORT LAUDERDALE, FL 33312-6906
(954) 357-5214
(954) 327-6580
Mailing address
591 HONEYSUCKLE LN, WESTON, FL 33327-2418
(954) 357-5214
(954) 327-6580
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD103643
FL
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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