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CORAL RIDGE PROFESSIONAL GROUP LLC
NPI 1215284757
Specialist in Plantation, FL

Active since August 14, 2012
9633 W BROWARD BLVD, SUITE 6, PLANTATION, FL 33324(561) 202-0834 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coral Ridge Professional Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORAL RIDGE PROFESSIONAL GROUP LLC (NPI 1215284757) is a healthcare organization registered as a specialist in Plantation, Florida and active in the NPI registry since August 2012. The organization lists Tammy Rodriguez, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1215284757
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCORAL RIDGE PROFESSIONAL GROUP LLC
Location Address9633 W BROWARD BLVD, SUITE 6Plantation, FL 33324-2332
Mailing Address9633 W Broward Blvd, Suite 6Plantation, FL 33324-2332
Phone(561) 202-0834
Organization SubpartNo
Authorized OfficialTammy RodriguezBilling Manager · (561) 202-0834
Enumeration DateAugust 14, 2012
✔ NPI 1215284757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9633 W BROWARD BLVD, Plantation, FL 33324
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALD M WEISS D.M.D.
Dentist
9633 W BROWARD BLVD
PLANTATION, FL 33324
Broward County (954) 472-6555
DANIEL P FRANCO, PHD, PA, & ASSOC
Psychologist
9633 W BROWARD BLVD, SUITE 3
PLANTATION, FL 33324
Broward County (954) 236-3738
MICHAEL A FLICKER DO PA
Family Medicine
9633 W BROWARD BLVD, SUITE #6
PLANTATION, FL 33324
Broward County (954) 835-0005
CORAL ANESTHESIA PARTNERS LLC
Specialist
9633 W BROWARD BLVD, SUITE6
PLANTATION, FL 33324
Broward County (561) 202-0834
VELOZ DENTAL PA
Dentist (General Practice)
9633 W BROWARD BLVD, SUITE 10
PLANTATION, FL 33324
Broward County (954) 472-6555
BROWARD ANESTHESIA PARTNERS LLC
Anesthesiology
9633 W BROWARD BLVD, SUITE 6
PLANTATION, FL 33324
Broward County (954) 835-0005
GARY W MALLOW M.D.
Internal Medicine
9633 W BROWARD BLVD, SUITE 1
PLANTATION, FL 33324
Broward County (954) 452-3535
CENTERLINE SURGICAL CENTER LLC
Clinic/Center
9633 W BROWARD BLVD, SUITE 6
PLANTATION, FL 33324
Broward County (561) 202-0834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coral Ridge Professional Group LLC's NPI number?

The NPI number for Coral Ridge Professional Group LLC is 1215284757. It was assigned to this organization in the NPPES registry on August 14, 2012.

Where is Coral Ridge Professional Group LLC located?

Coral Ridge Professional Group LLC is located at 9633 W Broward Blvd Suite 6, Plantation, FL 33324. The listed phone number is (561) 202-0834.

What is Coral Ridge Professional Group LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Coral Ridge Professional Group LLC was last updated on August 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.