Hazel Wiley, D.o., P.a.

NPI 1467774166 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1467774166
Enumeration Date 02/22/2010
Last Updated 02/22/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HAZEL HAZEL
Position PHYSICIAN
Phone (954) 821-0737
Fax
Practice Location
4900 W OAKLAND PARK BLVD
SUITE 309
LAUDERDALE LAKES FL, 33313-7500, US
Phone (954) 821-0737
Fax
Business Location
PO BOX 9834
CORAL SPRINGS FL, 33075-0834, US
Phone
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Florida
License Number OS 10690
Remove 1467774166 NPI Number
 

According to our database, Hazel Wiley, D.o., P.a. NPI is 1467774166, taxonomy code is 2084N0400X and license number is OS 10690, license state is located at Florida. Hazel Wiley, D.o., P.a. physically located at 4900 W Oakland Park Blvd, Lauderdale Lakes FL, 33313-7500. NPI Number 1033115704 has the healthcare provider type.

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1467774166 NPI number is provided on an as is basis without warranty of any kind. 1467774166 is maintained by the National Plan & Provider Enumeration System. The contents of Hazel Wiley, D.o., P.a. are for informational purposes only.