Coral Medical Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME102110 Issued in FL

Legal business name

CORAL MEDICAL CARE, LLC

Doing business as

Coral Medical Care

Practice address

5501 N University Dr
Suite 104
Coral Springs, FL 33067-4645

Phone

(954) 757-0670

NPI assigned

Dec 2, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tabassum HussainNPI 1760612709

Title

Managing Member

Phone

(954) 757-0670

Specialties & licenses 1

Addresses

Other names 1

• Coral Medical Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tabassum Hussain, MD

  • Family Medicine Physician
  • Coral Springs, FL
  • NPI 1760612709
  NPD (past) Authorized official

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1447552088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674645",
            "telephone_number": "954-757-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "TABASSUM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-757-0670"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cora Health Services Inc
• Cora Health Services, Inc (CORA Physical Therapy - Coral Springs Rehab and Aquatics)
• Coral Dental Care
• Coral Dental Specialists LLC
• Coral Hills Imaging LLC
• Coral Medical Care, LLC (coral medical care)
• Coral Medical Inc
• Coral Ridge Surgical Center, LLC
• Coral S M S Corp
• Coral Specialty LLC

• Family Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.