Coconut Creek Physicians P L

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COCONUT CREEK PHYSICIANS P L

Practice address

3880 Coconut Creek Pkwy Ste 100
Coconut Creek, FL 33066-1652

Phone

(954) 973-9666

Fax

(954) 978-6625

NPI assigned

Oct 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael P Angelillo, MDNPI 1992819767

Title

MD

Phone

(954) 973-9666

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael P Angelillo, MD

  • Rheumatology Physician
  • Coconut Creek, FL
  • NPI 1992819767
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1083707202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 COCONUT CREEK PKWY STE 100",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661652",
            "telephone_number": "954-973-9666",
            "fax_number": "954-978-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 COCONUT CREEK PKWY STE 100",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661652",
            "telephone_number": "954-973-9666",
            "fax_number": "954-978-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONUT CREEK PHYSICIANS P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ANGELILLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-973-9666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Med LLC
• Claudia Coba, MPT
• Coconut Creek Adult Day Care LLC
• Coconut Creek Alf Inc
• Coconut Creek Optical Inc.
• Coconut Creek Professional Group LLC
• Coconut Creek Rehab LLC
• Coconut Creek Rehabilitation Inc
• Coconut Creek Rehabilitation Inc
• Cogent Healthcare of Jacksonville, LLC

• Internal Medicine Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.