Las Olas Medical Group & Spa in Wilton Manors - Family Medicine
Las Olas Medical Group & Spa - NPI 1467472068
Las Olas Medical Group & Spa is a Family Medicine in Wilton Manors, Florida. Las Olas Medical Group & Spa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Las Olas Medical Group & Spa is 1467472068. The last update date is 2008-08-26.
Las Olas Medical Group & Spa's current location address is 2607 Ne 10th Ave, Wilton Manors, Florida. You can contact this provider via phone number 9547631230 and fax number 9547631238. The mailing address for Las Olas Medical Group & Spa is 2607 Ne 10th Ave, Wilton Manors, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Las Olas Medical Group & Spa |
|---|---|
| Address | 2607 Ne 10th Ave, Wilton Manors, Florida |
| Phone Number | 9547631230 |
| Fax Number | 9547631238 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Caron S Jeffrey |
| Credentials | M.D. |
| Telephone Number | 9547631230 |
NPI Number Detail
| NPI Number | 1467472068 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2008-08-26 |
Provider Mailing Address Detail
| Address | 2607 Ne 10th Ave |
|---|---|
| City | Wilton Manors |
| State | Florida (FL) |
| Post Code | 333343707 |
| Phone Number | 9547631230 |
| Fax Number | 9547631238 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME82806 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66841900 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Las Olas Medical Group & Spa?
The Las Olas Medical Group & Spa has been issued the NPI (National Provider Identifier) 1467472068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Las Olas Medical Group & Spa is located?
The Las Olas Medical Group & Spa is situated at the following address: 2607 Ne 10Th Ave, Wilton Manors, FL, 333343707.
What is Las Olas Medical Group & Spa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Las Olas Medical Group & Spa's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Las Olas Medical Group & Spa receive the assignment of its 1467472068 from the Centers for Medicare & Medicaid Services?
The Las Olas Medical Group & Spa was issued its 1467472068 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information pertaining to Las Olas Medical Group & Spa most recently updated or revised?
The details related to Las Olas Medical Group & Spa, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-26.