Organization Name: | SOUTH FLORIDA MEDICAL HOLDINGS |
NPI Number: | 1003247123 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID W AGOCS (MGRM) |
Mailing Address: | 2280 W Atlantic Ave Delray Beach |
State: | FL US |
Postal Code: | 334454637 |
Phone Number: | 5612783134 |
Fax Number: | 5612783922 |
NPI Enumeration Date: | 11/30/2013 |
NPI Last Update Date: | 11/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |