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LAUDERDALE HEALTH AND WELLNESS INC.

Physicians Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Provider NPI: 1255573879

Organization Information:
Organization Name:  LAUDERDALE HEALTH AND WELLNESS INC.
Organization is not Subpart
Authorized Official:  JEFF  THACKREY  DIRECTOR  954-688-4072

Practice Location:
6400 N ANDREWS AVE STE 120 FORT LAUDERDALE, FL 33309-2114 US
Tel: 954-688-4072  Fax: 954-653-7209

Business Mailing Address:
6400 N ANDREWS AVE STE 120 FORT LAUDERDALE, FL 33309-2114 US
Tel: 954-688-4072  Fax: 954-653-7209

NPI Information:
NPI: 1255573879
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2083P0500XPhysicians
Preventive Medicine
Preventive Medicine/Occupational Environmental Medicine
FLME93287

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2083P0500X

Type:

Classification:



Definition:



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