MEDICARE: COORDINATED PATIENT CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396769071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COORDINATED PATIENT CARE INC

Provider Business Mailing Address
First Line	:	4100 S HOSPITAL DR
Second Line	:	SUITE 209
City	:	PLANTATION
State	:	FL
Zip	:	33317-2813
Country	:	US
Telephone Number	:	954-587-5857
Fax Number	:	954-587-5807

Provider Business Practice Location Address
First Line	:	4100 S HOSPITAL DR
Second Line	:	SUITE 209
City	:	PLANTATION
State	:	FL
Zip	:	33317-2813
Country	:	US
Telephone Number	:	954-587-5857
Fax Number	:	954-587-5807

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MAXINE EULALEE HAMILTON
Credential	:	MD
Telephone Number	:	954-463-3804

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/22/2020

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Directions to “COORDINATED PATIENT CARE INC ” Practice Location

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