Organization
THE CONNECTION FL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KORCOK (MANAGING DIRECTOR)
(954) 288-2555
Entity
Organization
Contact information
Practice address
2151 E COMMERCIAL BLVD STE 301, FT LAUDERDALE, FL 33308-3807
(954) 288-2555
Mailing address
2151 E COMMERCIAL BLVD STE 301, FT LAUDERDALE, FL 33308-3807
(954) 288-2555
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134527435
SELF PAY AND COMMERCIAL INS
FL
Enumeration date
04/16/2019
Last updated
04/16/2019
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