Individual
DR. BHAGWANDATT RAJCOOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4765 S CONGRESS AVE STE B, LAKE WORTH, FL 33461-4700
(561) 965-5705
(561) 964-1188
Mailing address
4765 S CONGRESS AVE STE B, LAKE WORTH, FL 33461-4700
(561) 965-5705
(561) 964-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME35579
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME35579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048779100
—
FL
Enumeration date
11/30/2006
Last updated
04/01/2024
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