Organization
COCONUT CREEK PHYSICIANS P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P ANGELILLO MD (MD)
(954) 973-9666
Entity
Organization
Contact information
Practice address
3880 COCONUT CREEK PKWY STE 100, COCONUT CREEK, FL 33066-1652
(954) 973-9666
(954) 978-6625
Mailing address
3880 COCONUT CREEK PKWY STE 100, COCONUT CREEK, FL 33066-1652
(954) 973-9666
(954) 978-6625
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
10/02/2006
Last updated
06/16/2008
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