Doctor Name: | DR. WILLIAM LANTZ EFFINGER |
NPI Number: | 1225327380 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O.,M.S. |
License Number: | OS11271 |
Business Practice Address: | 7031 Sw 62nd Ave South Miami, FL - 331434701 |
Business Phone Number: | 3052847500 |
Business Fax Number: | 3052847545 |
Mailing Address: | 8440 Sw 8th St Apt 307a, MIAMI |
State: | FL |
Postal Code: | 331444102 |
Phone Number: | 2547176363 |
Fax Number: | 8886982714 |
NPI Enumeration Date: | 03/29/2011 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS11271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |