Provider Demographics
NPI:1598160996
Name:WENDY S. BOYAR,M.D.
Entity Type:Organization
Organization Name:WENDY S. BOYAR,M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BOYAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-308-6727
Mailing Address - Street 1:3700 ISLAND BLVD
Mailing Address - Street 2:C206
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4952
Mailing Address - Country:US
Mailing Address - Phone:305-308-6727
Mailing Address - Fax:
Practice Address - Street 1:3700 ISLAND BLVD
Practice Address - Street 2:C206
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-4952
Practice Address - Country:US
Practice Address - Phone:305-308-6727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 45162261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care