Organization
PROFESSIONAL HEALTHCARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART E KOPP D.O. (MEDICAL DIRECTOR)
(954) 943-8902
Entity
Organization
Contact information
Practice address
150 SW 12TH AVE, SUITE 440, POMPANO BEACH, FL 33069-3298
(954) 943-8902
Mailing address
150 SW 12TH AVE, SUITE 440, POMPANO BEACH, FL 33069-3298
(954) 943-8902
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS3754
FL
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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