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Organization

THE COLON AND RECTAL CLINIC OF FT LAUDERDALE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES PETER LAGO SR. MD (PRESIDENT FOR THE PRACTICE)
(954) 236-5444
Entity
Organization

Contact information

Practice address
201 NW 82ND AVE, SUITE 302, PLANTATION, FL 33324
(954) 236-5444
(954) 236-5422
Mailing address
201 NW 82ND AVE, SUITE 302, PLANTATION, FL 33324
(954) 236-5444
(954) 236-5422

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary

Other

Enumeration date
08/14/2006
Last updated
08/22/2020
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