Organization
THE COLON AND RECTAL CLINIC OF FT LAUDERDALE PA
Active
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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