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NPI Code Detail

MEDICARE: WSN NURSING HOME SERVICES

MEDICARE: WSN NURSING HOME SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1144873779
Entity Type Code : Organization
Provider Name (Legal Business Name) : WSN NURSING HOME SERVICES
Provider Business Mailing Address
First Line : PO BOX 6068
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33482-6068
Country : US
Telephone Number : 561-330-7635
Fax Number : 561-330-7635
Provider Business Practice Location Address
First Line : 7900 VENTURE CENTER WAY
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-7402
Country : US
Telephone Number : 561-330-0111
Fax Number : 561-330-7635
Authorized Official
Title or Position : OWNER
Name : WILLIAM NUTOVITS
Credential : MD
Telephone Number : 561-330-0111
Provider Enumeration Date : 07/23/2019
Last Update Date : 07/23/2019

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Directions to “WSN NURSING HOME SERVICES ” Practice Location

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