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Organization
PBISM WEST BOCA, INC.
Active
Organization
PBISM WEST BOCA, INC.
Active
Other names
Palm Beach Institute of Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD VAN PELT (PRESIDENT)
(561) 395-2920
Entity
Organization
Contact information
Practice address
21737 STATE ROAD 7, BOCA RATON, FL 33428-2822
(561) 997-5210
(561) 331-2542
Mailing address
3848 FAU BLVD STE 105, BOCA RATON, FL 33431-6437
(561) 395-2920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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