Organization
SOUTH FLORIDA INTERNAL MEDICINE GROUP INC
Active
Organization
SOUTH FLORIDA INTERNAL MEDICINE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAGOPALAN KUMAR M.D. (PRESIDENT)
(954) 899-6739
Entity
Organization
Contact information
Practice address
10006 ROSEWOOD ST, PARKLAND, FL 33076-3938
(954) 899-6739
Mailing address
10006 ROSEWOOD ST, PARKLAND, FL 33076-3938
(954) 899-6739
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004803800
—
FL
Enumeration date
05/09/2013
Last updated
10/05/2019
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