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Organization
LAKE WORTH PHYSICAL MEDICINE
Active
Organization
LAKE WORTH PHYSICAL MEDICINE
Active
Other names
Palm Beach Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GRAND D.C. (PRESIDENT)
(561) 729-7089
Entity
Organization
Contact information
Practice address
1722-A SOUTH CONGRESS AVE, PALM SPRINGS, FL 33461
(561) 868-5668
(561) 868-5702
Mailing address
PO BOX 16836, WEST PALM BEACH, FL 33416-6836
(561) 868-5668
(561) 868-5702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9392
FL
Other
Enumeration date
05/16/2012
Last updated
11/02/2016
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