Organization Name: | WMC HEALTH GROUP, LLC |
NPI Number: | 1285075630 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA PECYNER (MANAGER) |
Mailing Address: | 2999 Ne 191st St Ste 406 Aventura |
State: | FL US |
Postal Code: | 331803116 |
Phone Number: | 3056929009 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME104204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |