WILKENS MONDESIR MD PA NPI 1811241003

NPI Information

  • NPI: 1811241003
  • Provider Name: WILKENS MONDESIR MD, PA
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Organization
  • Address: 4849 LAKE WORTH RD STE 201
    GREENACRES, FL
    ZIP 33463
  • Phone: (561) 784-7014

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NPI Details

WILKENS MONDESIR MD, PA is an obstetrics obstetrics gynecology in Greenacres, FL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee WILKENS MONDESIR MD, PA NPI is 1811241003. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4849 LAKE WORTH RD STE 201
GREENACRES, FL
ZIP 33463-462
Phone: (561) 784-7014
Fax: (561) 784-7922

The provider's authorized official is Wilkens Mondesir .
The authorized official title is Owner and has the following contact phone number (561) 389-4881.

The enumeration date for this NPI number is 11/9/2012 and was last updated on 8/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyME113026FLORIDANo
2207VG0400XObstetrics & GynecologyGynecologyME113026FLORIDANo
3207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineME113026FLORIDANo
4261QM1300XClinic/CenterMulti-SpecialtyME113026FLORIDANo
5207VX0000XObstetrics & GynecologyObstetricsME113026FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010956200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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