| Lily Wiedrich, | |
|
12983 Southern Blvd, Suite 100, Loxahatchee, FL 33470-9207 | |
| (561) 798-3300 | |
| Not Available |
| Full Name | Lily Wiedrich |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 12983 Southern Blvd, Loxahatchee, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548532757 | NPI | - | NPPES |
| 008571300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS11572 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Wiedrich, 1091 Widgeon Rd, Wellington, FL 33414-5049 Ph: (561) 798-3300 | Lily Wiedrich, 12983 Southern Blvd, Suite 100, Loxahatchee, FL 33470-9207 Ph: (561) 798-3300 |
Dr. Rachael Marie Cannon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-798-3300 | |
Mrs. Amy Zaron Aqua, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12955 Palms West Dr, Suite 100 Building 8, Loxahatchee, FL 33470 Phone: 561-798-2468 Fax: 561-798-2733 | |
Dr. Eric Austin Jorge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-345-7009 | |
Hoon Kim, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-798-3300 | |
Dr. John Lee Bankston Iii, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13001 Southern Blvd, Palm's West Hospital Nicu, Loxahatchee, FL 33470 Phone: 561-840-6220 | |
Martha C Holley, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12959 Palms West Dr, Suite 210, Loxahatchee, FL 33470 Phone: 561-795-3333 Fax: 561-791-3002 | |
Dr. Claudio A Ruiz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-798-3300 |