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Organization
INTRACOASTAL PRIMARY HEALTH CARE, INC
Active
Organization
INTRACOASTAL PRIMARY HEALTH CARE, INC
Active
Other names
Intracoastal primary health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY KUMAR CHOWDHARY M.D. (OWNER)
(954) 530-7515
Entity
Organization
Contact information
Practice address
935 INTRACOASTAL DR, FORT LAUDERDALE, FL 33304-3623
(954) 530-7515
Mailing address
935 INTRACOASTAL DR, FORT LAUDERDALE, FL 33304-3623
(954) 530-7515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME59508
FL
207R00000X
Internal Medicine Physician
Primary
ME59508
FL
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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