MY PHYSICIAN ONLINE

NPI # 

Practice Address:

9540 Nw 23Rd St

Coral Springs, FL, 33065-4974

Practice Phone:

954-778-8007

Practice Fax:

949-655-8591

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Physician Assistant

Taxonomy Specialization:

Medical

Taxonomy Code:

363AM0700X

Updated by NPPES on 8/6/2020. You can view the original data set for NPI # 1770193500 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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CMS CPT® coding data

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