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Contact Information

JONATHAN F WISE, MD
3816 HOLLYWOOD BLVD
SUITE 101
HOLLYWOOD, FL33021-6750
 Phone: 954-963-4990
 Fax: 954-963-1848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JONATHAN F WISE · (Male)

NPI Number 1588629794
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • License # MEOO34543
Hospital affiliation(s)
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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