| Miami Wlp, LLC | |
|
5405 Okeechobee Blvd Ste 205 West Palm Beach FL 33417-4544 | |
| (561) 594-0551 | |
| Not Available |
| Full Name | Miami Wlp, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5405 Okeechobee Blvd Ste 205, West Palm Beach, Florida |
| Authorized Official Name and Position | Ira Wellisch (COO) |
| Authorized Official Contact | 7862015575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Wlp, LLC 5405 Okeechobee Blvd Ste 205 West Palm Beach FL 33417-4544 Ph: (561) 594-0551 | Miami Wlp, LLC 5405 Okeechobee Blvd Ste 205 West Palm Beach FL 33417-4544 Ph: (561) 594-0551 |
| NPI Number | 1619543329 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619543329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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