| Coral Gate Medical Group | |
|
9750 Nw 33rd Street Suite # 212 Coral Springs FL 33065-4042 | |
| (954) 755-5504 | |
| (954) 755-3414 |
| Full Name | Coral Gate Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 9750 Nw 33rd Street, Coral Springs, Florida |
| Authorized Official Name and Position | Robert Gordon (COO) |
| Authorized Official Contact | 9546568855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Gate Medical Group 2929 N University Dr Suite # 110 Coral Spings FL 33065-5081 Ph: (954) 656-8855 | Coral Gate Medical Group 9750 Nw 33rd Street Suite # 212 Coral Springs FL 33065-4042 Ph: (954) 755-5504 |
| NPI Number | 1205157187 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205157187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME94817 (Florida) | Primary |
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