The Family Practice Of Tamarac, Corp

NPI 1215113659 - Specialist - 174400000X

NPI Details
NPI 1215113659
Enumeration Date 01/16/2008
Last Updated 01/16/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name VICTORIA VICTORIA
Position ADMINISTRATOR
Phone (954) 486-1925
Fax (954) 486-1983
Practice Location
4699 N STATE ROAD 7
SUITE B2
LAUDERDALE LAKES FL, 33319-5879, US
Phone (954) 486-1925
Fax (954) 486-1983
Business Location
4699 NORTH STATE ROAD 7
SUITE B2
TAMARAC FL, 33319, US
Phone (954) 486-1925
Fax (954) 486-1983
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number HCC7924
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According to our database, The Family Practice Of Tamarac, Corp NPI is 1215113659, taxonomy code is 174400000X and license number is HCC7924, license state is located at Florida. The Family Practice Of Tamarac, Corp physically located at 4699 N State Road 7, Lauderdale Lakes FL, 33319-5879. NPI Number 1033115704 has the healthcare provider type.

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1215113659 NPI number is provided on an as is basis without warranty of any kind. 1215113659 is maintained by the National Plan & Provider Enumeration System. The contents of The Family Practice Of Tamarac, Corp are for informational purposes only.