| Coconut Creek Professional Group Llc | |
|
3880 Coconut Creek Pkwy Ste 303 Coconut Creek FL 33066-1651 | |
| (954) 657-8524 | |
| (954) 301-0794 |
| Full Name | Coconut Creek Professional Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 3880 Coconut Creek Pkwy Ste 303, Coconut Creek, Florida |
| Authorized Official Name and Position | Christopher Reul (OWNER) |
| Authorized Official Contact | 9546578524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coconut Creek Professional Group Llc 3880 Coconut Creek Pkwy Ste 303 Coconut Creek FL 33066-1651 Ph: (954) 657-8524 | Coconut Creek Professional Group Llc 3880 Coconut Creek Pkwy Ste 303 Coconut Creek FL 33066-1651 Ph: (954) 657-8524 |
| NPI Number | 1366803322 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366803322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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