La Clinique 300 INC
NPI #1689059453 in Wilton Manors, Florida
Provider Information
- NPI Number
- 1689059453
- Entity Type
- Organization
- Organization Name
- La Clinique 300 INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JOSEPH FANFAN JR MD PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 22, 2015
- Last Updated
- May 9, 2016
Practice Location
- Address
- 2630 N ANDREWS AVE
- City
- Wilton Manors
- State
- Florida
- ZIP Code
- 33311-2550
- Phone
- (954) 525-4900
Authorized Official
- Name
- DR. JOSEPH FANFAN, MD
- Title
- PRESIDENT
- Phone
- (954) 525-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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