Individual
DR. GEORGE ANTHONY LAQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, C.M
Contact information
Practice address
5412 E LEITNER DR, CORAL SPRINGS, FL 33067-2045
(954) 856-4588
(954) 341-4129
Mailing address
5412 E LEITNER DR, CORAL SPRINGS, FL 33067-2045
(954) 856-4588
(954) 341-4129
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
33302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048893300
—
FL
Enumeration date
02/27/2017
Last updated
02/27/2017
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