| Professional Healthcare Group, Llc | |
|
150 Sw 12th Ave Suite 440 Pompano Beach FL 33069-3298 | |
| (954) 943-8902 | |
| Not Available |
| Full Name | Professional Healthcare Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 150 Sw 12th Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Stewart E Kopp (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9549438902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Healthcare Group, Llc 150 Sw 12th Ave Suite 440 Pompano Beach FL 33069-3298 Ph: (954) 943-8902 | Professional Healthcare Group, Llc 150 Sw 12th Ave Suite 440 Pompano Beach FL 33069-3298 Ph: (954) 943-8902 |
| NPI Number | 1639347214 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639347214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS3754 (Florida) | Primary |
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