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Organization
COCONUT CREEK PROFESSIONAL GROUP LLC
Active
Organization
COCONUT CREEK PROFESSIONAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER REUL (OWNER)
(954) 657-8524
Entity
Organization
Contact information
Practice address
3880 COCONUT CREEK PKWY STE 303, COCONUT CREEK, FL 33066-1651
(954) 657-8524
(954) 301-0794
Mailing address
3880 COCONUT CREEK PKWY STE 303, COCONUT CREEK, FL 33066-1651
(954) 657-8524
(954) 301-0794
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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