| Hazel Wiley, D.o., P.a. | |
|
4900 W Oakland Park Blvd Suite 309 Lauderdale Lakes FL 33313-7500 | |
| (954) 821-0737 | |
| Not Available |
| Full Name | Hazel Wiley, D.o., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4900 W Oakland Park Blvd, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Hazel Wiley (PHYSICIAN) |
| Authorized Official Contact | 9548210737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazel Wiley, D.o., P.a. Po Box 9834 Coral Springs FL 33075-0834 Ph: () - | Hazel Wiley, D.o., P.a. 4900 W Oakland Park Blvd Suite 309 Lauderdale Lakes FL 33313-7500 Ph: (954) 821-0737 |
| NPI Number | 1467774166 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Medicare PECOS PAC ID | 7719014851 |
|---|---|
| Medicare Enrollment ID | O20100422000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467774166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | OS 10690 (Florida) | Primary |
| Provider Name | Hazel Wiley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821208794 PECOS PAC ID: 3072652858 Enrollment ID: I20091208000556 |
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