La Clinique 300 Inc
La Clinique 300 Inc is a Clinic/Center in Wilton Manors, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2630 N Andrews AveWilton Manors, FL 33311-2550
Phone: (954) 525-4900
Fax: (954) 396-3110
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence ME43065 (FL) |
|---|
Record details
| NPI number | 1689059453 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Joseph Fanfan Jr MD PA |
| Authorized official | Joseph Fanfan — President · (954) 525-4900 |
| Other names | Joseph Fanfan Jr Md Pa |
| NPI enumerated | July 22, 2015 |
| Last updated in NPPES | May 9, 2016 |
| Mailing address | 2630 N Andrews Ave, Wilton Manors, FL 33311-2550 |
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