Doctor Name: | DR. ALEX D WARGO |
NPI Number: | 1669604724 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS4030 |
Business Practice Address: | 2350 W Oakland Park Blvd Suite 900 Oakland Park, FL - 333111409 |
Business Phone Number: | 9547318080 |
Business Fax Number: | 9547318670 |
Mailing Address: | 2350 W Oakland Park Blvd, Suite 900 OAKLAND PARK |
State: | FL |
Postal Code: | 333111409 |
Phone Number: | 9547318080 |
Fax Number: | 9547318670 |
NPI Enumeration Date: | 08/21/2009 |
NPI Last Update Date: | 03/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS4030 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |