Organization
CORA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CLARK (PRESIDENT & COO)
(419) 221-6715
Entity
Organization
Contact information
Practice address
7410 BOYNTON BEACH BLVD STE A11, BOYNTON BEACH, FL 33437-6157
(561) 731-0163
(561) 731-1886
Mailing address
7410 BOYNTON BEACH BLVD STE A11, BOYNTON BEACH, FL 33437-6157
(561) 731-0163
(561) 731-1886
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT19496
FL
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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