Organization
INFINITY HEALTH OF SOUTH FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILSON SR. PHYSICIAN ASSISTANT (OWNER)
(954) 432-7860
Entity
Organization
Contact information
Practice address
1150 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-5031
(954) 432-2109
Mailing address
1150 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-5031
(954) 432-2109
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101757
FL
Other
Enumeration date
08/11/2008
Last updated
09/19/2008
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