| NPI | 1922342229 |
|---|---|
| Doing Business As | INTRACOASTAL PRIMARY HEALTH |
| Entity Type | Organization |
| Authorized Contact | VIJAY KUMAR CHOWDHARY Owner 954-530-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME59508) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME59508) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |