| NPI Details | |
|---|---|
| NPI | 1588077374 |
| Enumeration Date | 06/09/2014 |
| Last Updated | 06/09/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 3 years ago |
| Authorized Information | |
|---|---|
| Name | LONNIE LONNIE |
| Position | PHYSICAN |
| Phone | (954) 370-3100 |
| Fax | (954) 370-3288 |
| Practice Location | |
|---|---|
| 8148 W BROWARD BLVD PLANTATION FL, 33324-2000, US |
|
| Phone | (954) 370-3100 |
| Fax | (954) 370-3288 |
| Business Location | |
|---|---|
| 8148 W BROWARD BLVD PLANTATION FL, 33324-2000, US |
|
| Phone | (954) 370-3100 |
| Fax | (954) 370-3288 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111NX0800X |
| License State | Florida |
| License Number | CH7740 |
| Remove 1588077374 NPI Number | |
According to our database, Westside Advanced Care NPI is 1588077374, taxonomy code is 111NX0800X and license number is CH7740, license state is located at Florida. Westside Advanced Care physically located at 8148 W Broward Blvd, Plantation FL, 33324-2000. NPI Number 1033115704 has the healthcare provider type.
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1588077374 NPI number is provided on an as is basis without warranty of any kind. 1588077374 is maintained by the National Plan & Provider Enumeration System. The contents of Westside Advanced Care are for informational purposes only.
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