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NPI Code Detail

MEDICARE: PHLEBOTOMISTS ON WHEELS,INC.

MEDICARE: PHLEBOTOMISTS ON WHEELS,INC.
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
1251E00000XHome Health AgencyFL

General Provider Information

NPI Number : 1962609123
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHLEBOTOMISTS ON WHEELS,INC.
Provider Business Mailing Address
First Line : 1451 W CYPRESS CREEK RD
Second Line : STE 300 ROOM 100
City : FORT LAUDERDALE
State : FL
Zip : 33309-1961
Country : US
Telephone Number : 800-889-1226
Fax Number :
Provider Business Practice Location Address
First Line : 1451 W CYPRESS CREEK RD
Second Line : STE 300 ROOM 100
City : FORT LAUDERDALE
State : FL
Zip : 33309-1961
Country : US
Telephone Number : 800-889-1226
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TAMIKA SHONTAL WILLIAMS
Credential :
Telephone Number : 954-682-1262
Provider Enumeration Date : 06/29/2007
Last Update Date : 03/14/2008

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Directions to “PHLEBOTOMISTS ON WHEELS,INC. ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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