Professional Healthcare Group, LLC
NPI #1639347214 in Pompano Beach, Florida
Provider Information
- NPI Number
- 1639347214
- Entity Type
- Organization
- Organization Name
- Professional Healthcare Group, LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Feb 15, 2008
- Last Updated
- Feb 15, 2008
Practice Location
- Address
- 150 SW 12TH AVE
- Address 2
- SUITE 440
- City
- Pompano Beach
- State
- Florida
- ZIP Code
- 33069-3298
- Phone
- (954) 943-8902
Authorized Official
- Name
- DR. STEWART E KOPP, D.O.
- Title
- MEDICAL DIRECTOR
- Phone
- (954) 943-8902
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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