Midway Medical Associates

NPI 1104899590 - Family Medicine - 207Q00000X

NPI Details
NPI 1104899590
Enumeration Date 02/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name IRA A IRA
Position PRESIDENT
Phone (954) 720-1040
Fax (954) 720-4411
Practice Location
5859 N UNIVERSITY DR
TAMARAC FL, 33321, US
Phone (954) 720-1040
Fax (954) 720-4411
Business Location
5859 N UNIVERSITY DR
TAMARAC FL, 33321, US
Phone (954) 720-1040
Fax (954) 720-4411
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Midway Medical Associates NPI is 1104899590, taxonomy code is 207Q00000X Midway Medical Associates physically located at 5859 N University Dr, Tamarac FL, 33321. NPI Number 1033115704 has the healthcare provider type.

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1104899590 NPI number is provided on an as is basis without warranty of any kind. 1104899590 is maintained by the National Plan & Provider Enumeration System. The contents of Midway Medical Associates are for informational purposes only.