OrganizationActive
Coral Ridge Professional Group LLC
NPI 1215284757 · Specialist · Plantation, FL
Coral Ridge Professional Group LLC is a Specialist organization in Plantation, FL (NPI 1215284757).
Provider details
- NPI number
- 1215284757
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Tammy Rodriguez, Billing Manager(561) 202-0834
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9633 W Broward Blvd
Suite 6
Plantation, FL 33324-2332
Phone: (561) 202-0834
Street-level locationGet directions
Mailing address
9633 W Broward Blvd
Plantation, FL 33324-2332
Registry dates
- Enumerated
- 2012-08-14
- Last updated
- 2012-08-14
Frequently asked questions
- What is Coral Ridge Professional Group LLC's NPI number?
- Coral Ridge Professional Group LLC's National Provider Identifier (NPI) is 1215284757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coral Ridge Professional Group LLC?
- Coral Ridge Professional Group LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Coral Ridge Professional Group LLC located?
- Coral Ridge Professional Group LLC's practice location on file with NPPES is 9633 W Broward Blvd, Plantation, FL 33324-2332.
- What is Coral Ridge Professional Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Coral Ridge Professional Group LLC is (561) 202-0834.
- Who is the authorized official for Coral Ridge Professional Group LLC?
- The authorized official listed on Coral Ridge Professional Group LLC's NPPES record is Tammy Rodriguez, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coral Ridge Professional Group LLC's NPI active?
- Yes — Coral Ridge Professional Group LLC's NPI (1215284757) is active in the NPPES registry as of the last update on 2012-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.