Organization
MULTISPECIALTYHEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NEAL FUNK MD (MD/SOLE OWNER)
(954) 609-7989
Entity
Organization
Contact information
Practice address
1480 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6040
(954) 840-0530
(954) 840-3570
Mailing address
1480 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6040
(954) 840-0530
(954) 840-3570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME95185
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME95185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95185
FLORIDA DOH
FL
Enumeration date
11/22/2016
Last updated
07/05/2021
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