# PLATINUM REHABILITATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073558797
- **Authorized official:** MR. BRADFORD RUSSELL ESTRA (PRESIDENT)
- **Authorized official phone:** (561) 697-3131

## Contact information

- **Practice address:** 110 CENTURY BLVD, WEST PALM BEACH, FL 33417-2262
- **Practice address phone:** (561) 697-3131
- **Mailing address:** 110 CENTURY BLVD, WEST PALM BEACH, FL 33417-2262
- **Mailing address phone:** (561) 697-3131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | FL | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/22/2020