| NPI | 1053670463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY S GOLDMAN Mgmr 561-702-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT10059) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |