Organization
G H WAKED MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WAKED M.D. (PHYSICIAN)
(954) 721-0700
Entity
Organization
Contact information
Practice address
7421 N UNIVERSITY DR STE 214, TAMARAC, FL 33321-6102
(954) 721-0700
(954) 722-5857
Mailing address
7421 N UNIVERSITY DR STE 214, TAMARAC, FL 33321-6102
(954) 721-0700
(954) 722-5857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME33761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTAN
93715
FL
Enumeration date
12/14/2012
Last updated
12/14/2012
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