Organization
FORT LAUDERDALE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C MONACO OWNER (PRESIDENT)
(754) 900-2410
Entity
Organization
Contact information
Practice address
4825 N DIXIE HWY, OAKLAND PARK, FL 33334-3928
(754) 900-2410
(954) 840-8254
Mailing address
4825 N DIXIE HWY, OAKLAND PARK, FL 33334-3928
(754) 900-2410
(954) 840-8254
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT17639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME60132
MEDICAL LIC
FL
Enumeration date
02/17/2017
Last updated
02/17/2017
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