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La Clinique 300 Inc
Clinic/Center in Wilton Manors, Florida
NPI 1689059453

La Clinique 300 Inc is a Clinic/Center based in Wilton Manors, FL. La Clinique 300 Inc practices in Wilton Manors, FL. The NPI Number for La Clinique 300 Inc is 1689059453 and holds a License No. ME43065 (Florida).

The current practice location address for La Clinique 300 Inc is 2630 N Andrews Ave, Wilton Manors, FL and can be reached out via phone at 954-525-4900 and via fax at 954-396-3110.

Location: 2630 N Andrews Ave, Wilton Manors, FL, 33311-2550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689059453
Provider Name
La Clinique 300 Inc
Credential
Provider Entity Type
Organization
Address
2630 N Andrews Ave, Wilton Manors, FL, 33311-2550
Phone Number
954-525-4900
Fax Number
954-396-3110
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
068166100 05 FL
institution
Provider Business Practice Location Address Details
Address
2630 N Andrews Ave
City
Wilton Manors
State
Florida
Zip
33311-2550
Phone Number
954-525-4900
Fax Number
954-396-3110
person
Provider Business Mailing Address Details
Address
2630 N Andrews Ave
City
Wilton Manors
State
Florida
Zip
33311-2550
Phone Number
954-525-4900
Fax Number
954-396-3110
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
ME43065 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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