Organization
CORAL SPRINGS PHYSICAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIYAH STOTTER (OWNER)
(954) 752-7373
Entity
Organization
Contact information
Practice address
9720 W SAMPLE RD, CORAL SPRINGS, FL 33065-4004
(954) 752-7373
(954) 752-7351
Mailing address
9858 CLINT MOORE RD, C111-274, BOCA RATON, FL 33496-1034
(561) 482-1144
(561) 482-1145
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
CH9519
FL
Other
Enumeration date
05/05/2014
Last updated
06/13/2014
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