Provider Demographics
NPI:1790963825
Name:MEDICAL ASSOCIATES OF CORAL SPRINGS P A
Entity Type:Organization
Organization Name:MEDICAL ASSOCIATES OF CORAL SPRINGS P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:MS
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GINSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-344-8288
Mailing Address - Street 1:8190 ROYAL PALM BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5706
Mailing Address - Country:US
Mailing Address - Phone:954-344-8288
Mailing Address - Fax:954-344-8041
Practice Address - Street 1:8190 ROYAL PALM BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5706
Practice Address - Country:US
Practice Address - Phone:954-344-8288
Practice Address - Fax:954-344-8041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty