Organization
CORAL MEDICAL CARE, LLC
Active
Other names
Coral Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
TABASSUM HUSSAIN (MANAGING MEMBER)
(954) 757-0670
Entity
Organization
Contact information
Practice address
5501 N UNIVERSITY DR, SUITE 104, CORAL SPRINGS, FL 33067-4645
(954) 757-0670
Mailing address
5501 N UNIVERSITY DR, SUITE 104, CORAL SPRINGS, FL 33067-4645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME102110
FL
Other
Enumeration date
12/02/2010
Last updated
12/13/2010
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