Wzrd, LLC
Internal Medicine in Hollywood, FL. Organization (NPI-2).
NPI number1962090993
StatusActive
Last updated in NPPESApr 2, 2023
Details
- NPI
- 1962090993
- Entity type
- Organization (NPI-2)
- Legal business name
- Wzrd, LLC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2021
- Certification date
- Apr 2, 2023
- Last updated
- Apr 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Other names
- Wizrad Medical Center (Doing Business As)
- Wzrd, LLC (Former Legal Business Name)
Practice location
1010 Hollywood BlvdHollywood, FL 33019-1608
Phone 954-483-3381 · Fax 954-516-0720
Mailing address
6813 Finamore CirLake Worth, FL 33467-8727
Phone 954-483-3381 · Fax 954-516-0720
Authorized official
Khaled Deeb
Owner, Authorized Official
9544833811
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