| Hazel Wiley, D.o., P.a. | |
|
4900 W Oakland Park Blvd Suite 309 Lauderdale Lakes FL 33313-7500 | |
| (954) 821-0737 | |
| Not Available |
| Full Name | Hazel Wiley, D.o., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4900 W Oakland Park Blvd, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Hazel Wiley (PHYSICIAN) |
| Authorized Official Contact | 9548210737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazel Wiley, D.o., P.a. Po Box 9834 Coral Springs FL 33075-0834 Ph: () - | Hazel Wiley, D.o., P.a. 4900 W Oakland Park Blvd Suite 309 Lauderdale Lakes FL 33313-7500 Ph: (954) 821-0737 |
| NPI Number | 1467774166 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Medicare PECOS PAC ID | 7719014851 |
|---|---|
| Medicare Enrollment ID | O20100422000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467774166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | OS 10690 (Florida) | Primary |
| Provider Name | Hazel Wiley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821208794 PECOS PAC ID: 3072652858 Enrollment ID: I20091208000556 |
Steward Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313 Phone: 954-472-1322 | |
Osborne Legal Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 N State Road 7 Ste 200, Lauderdale Lakes, FL 33319 Phone: 954-274-5448 Fax: 954-484-1216 | |
Florida Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000 | |
Gothrig Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2331 N State Road 7 Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-530-6558 Fax: 954-769-1576 | |
Floridas Treatment Center Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 W Oakland Park Blvd Ste 102, Lauderdale Lakes, FL 33313 Phone: 954-380-0714 Fax: 877-977-5142 | |
Alina Health Medical Center Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 N State Road 7 Ste A, Lauderdale Lakes, FL 33319 Phone: 954-884-5859 | |
Rainbow Behavior Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Nw 49th Ave Ste 203, Lauderdale Lakes, FL 33313 Phone: 786-724-6015 |