SENIOR CARE MEDICAL CTR NPI 1205157187

NPI Information

  • NPI: 1205157187
  • Provider Name: SENIOR CARE MEDICAL CTR
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: CORAL GATE MEDICAL GROUP
  • Address: 9750 NW 33RD STREET
    SUITE # 212
    CORAL SPRINGS, FL
    ZIP 33065
  • Phone: (954) 755-5504

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NPI Details

SENIOR CARE MEDICAL CTR is an internal medicine in Coral Springs, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SENIOR CARE MEDICAL CTR NPI is 1205157187. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coral Gate Medical Group.

The provider's business location address is:

9750 NW 33RD STREET
SUITE # 212
CORAL SPRINGS, FL
ZIP 33065-042
Phone: (954) 755-5504
Fax: (954) 755-3414

The provider's authorized official is Robert Gordon .
The authorized official title is Coo and has the following contact phone number (954) 656-8855.

The enumeration date for this NPI number is 6/15/2010 and was last updated on 6/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineME94817FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
140029MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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