Atlantic Coast Specialists Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME97035 Issued in FL

Legal business name

ATLANTIC COAST SPECIALISTS INC

Practice address

1755 E Hallandale Beach Blvd
Unit 2202E
Hallandale Beach, FL 33009-4684

Phone

(561) 352-9557

Fax

(772) 781-2680

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Adekunle O Bamgboye, MD

Title

Owner

Phone

(561) 352-9557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1750518338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 E HALLANDALE BEACH BLVD",
            "address_2": "UNIT 2202E",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094684",
            "telephone_number": "561-352-9557",
            "fax_number": "772-781-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 E HALLANDALE BEACH BLVD",
            "address_2": "UNIT 2202E",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094684",
            "telephone_number": "561-352-9557",
            "fax_number": "772-781-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "BAMGBOYE",
        "authorized_official_first_name": "ADEKUNLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-352-9557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, 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 22, 2009; 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.