Egbert De Vries MD

NPI 1093891137 - Otolaryngology - 207Y00000X

NPI Details
NPI 1093891137
Gender Male
Enumeration Date 10/31/2006
Last Updated 10/11/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2950 CLEVELAND CLINIC BLVD
WESTON FL, 33331-3609, US
Phone (954) 659-5178
Fax
Business Location
2950 CLEVELAND CLINIC BLVD
WESTON FL, 33331-3609, US
Phone
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State New York
License Number 185712
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According to our database, Egbert De Vries MD NPI is 1093891137, taxonomy code is 207Y00000X and license number is 185712, license state is located at New York. Egbert De Vries MD physically located at 2950 Cleveland Clinic Blvd, Weston FL, 33331-3609. NPI Number Egbert De Vries MD has the Individual type.

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1093891137 NPI number is provided on an as is basis without warranty of any kind. 1093891137 is maintained by the National Plan & Provider Enumeration System. The contents of Egbert De Vries MD are for informational purposes only.