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Lighthouse Point Ob/Gyn,pllc

Specialist in Pompano Beach, FL. Organization (NPI-2).

NPI number1780906339
StatusActive
Last updated in NPPESMar 4, 2010

Details

NPI
1780906339
Entity type
Organization (NPI-2)
Legal business name
Lighthouse Point Ob/Gyn,pllc
Organization subpart
No
Enumeration date
Feb 24, 2010
Last updated
Mar 4, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistME43336FLYes

Practice location

601 E Sample Rd
Suite 103
Pompano Beach, FL 33064-4443

Phone 954-781-0180 · Fax 954-781-3230

Mailing address

601 E Sample Rd
Deerfield Beach, FL 33064-4443

Phone 954-781-0180 · Fax 954-781-3230

Authorized official

Adib A Chidiac
M.D.
9547810180

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