| Organization Name: | CORAL RIDGE OUTPATIENT CENTER LLC |
| NPI Number: | 1114126596 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL BURTNETT (PRESIDENT OF MANAGING MEMBER) |
| Mailing Address: | 5301 N Dixie Hwy Suite 100 Oakland Park |
| State: | FL US |
| Postal Code: | 333343403 |
| Phone Number: | 9548323300 |
| Fax Number: | 9548323301 |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 12/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RG0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Gastroenterology |
| Taxonomy Definition: | An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |