Organization
THE FAMILY PLACE FL, PROFESSIONAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J KORCOK (MGR)
(954) 288-2555
Entity
Organization
Contact information
Practice address
2151 E COMMERCIAL BLVD STE 301, FORT LAUDERDALE, FL 33308-3807
(954) 288-2555
Mailing address
1730 E COMMERCIAL BLVD # 301, OAKLAND PARK, FL 33334-5721
(954) 288-2555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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