Organization Name: | PHYSICIAN OFFICES OF FLORIDA CITY |
NPI Number: | 1578778627 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRA S WELLISCH (VICE PRESIDENT) |
Mailing Address: | 646 West Palm Drive Florida City |
State: | FL US |
Postal Code: | 33034 |
Phone Number: | 3052420883 |
Fax Number: | 3052429523 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 05/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 0062068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |