Wilson Dumornay M D P A

Specialty details in registry · Plantation, FL

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At a glance

4101 S Hospital Dr, Plantation, FL 33317-2857

NPPES record updated Jul 21, 2015. Public records can lag behind changes at a practice.

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Practice location

4101 S Hospital Dr Suite 14
Plantation, FL 33317-2857
Professional details: NPI, taxonomy & registry record
NPI1760646046
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207YS0123X
Enumeration date
Jul 15, 2008
Record updated
Jul 21, 2015
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

207YS0123X · Primary

License reported: ME 96799 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4101 S Hospital Dr
Suite 14
Plantation, FL 33317-2857
Phone
(954) 368-3348
Fax
(954) 900-4720
Mailing address
4101 S HOSPITAL DR
SUITE 14
PLANTATION, FL 333172857
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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