Provider Demographics
NPI:1740654474
Name:PROFESSIONAL CO-OP SERVICES, INC.
Entity type:Organization
Organization Name:PROFESSIONAL CO-OP SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-999-4041
Mailing Address - Street 1:850 W DANIA BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:DANIA
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3330
Mailing Address - Country:US
Mailing Address - Phone:866-999-4041
Mailing Address - Fax:866-999-9175
Practice Address - Street 1:850 W DANIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:DANIA
Practice Address - State:FL
Practice Address - Zip Code:33004-3330
Practice Address - Country:US
Practice Address - Phone:866-999-4041
Practice Address - Fax:866-999-9175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty