| Organization Name: | PLANTATION PRIMARY CARE PHYSICIANS, INC |
| NPI Number: | 1275889313 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIN KING (BOOK KEEPER) |
| Mailing Address: | 499 Nw 70th Ave Ste 220 Plantation |
| State: | FL US |
| Postal Code: | 333177500 |
| Phone Number: | 9545877577 |
| Fax Number: | 9545877199 |
| NPI Enumeration Date: | 07/26/2012 |
| NPI Last Update Date: | 07/26/2012 |
| 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: | |