| The Family Place Fl, Professional Group, Llc | |
|
2151 E Commercial Blvd Ste 301 Fort Lauderdale FL 33308-3807 | |
| (954) 288-2555 | |
| Not Available |
| Full Name | The Family Place Fl, Professional Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2151 E Commercial Blvd Ste 301, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Mark J Korcok (MGR) |
| Authorized Official Contact | 9542882555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Place Fl, Professional Group, Llc 1730 E Commercial Blvd # 301 Oakland Park FL 33334-5721 Ph: (954) 288-2555 | The Family Place Fl, Professional Group, Llc 2151 E Commercial Blvd Ste 301 Fort Lauderdale FL 33308-3807 Ph: (954) 288-2555 |
| NPI Number | 1215588413 |
|---|---|
| Provider Enumeration Date | 09/28/2019 |
| Last Update Date | 09/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215588413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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