NPI 1518407428

George Anthony Laquis, MDCM

Practitioner Prevention Professional Coral Springs, FL

Practice location

Address: 5412 E Leitner Dr, Coral Springs, FL 33067-2045
Phone: (954) 856-4588
Fax: (954) 341-4129

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 33302 (FL)

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Registry record

NPI: 1518407428
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2017
Record last updated: 27 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.