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Organization
FAIRWAY PHYSICAL THERAPY LLC
Active
Organization
FAIRWAY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A SHUMAKER (DIRECTOR OF OPERATIONS)
(561) 685-2492
Entity
Organization
Contact information
Practice address
7100 FAIRWAY DR STE 42, PALM BEACH GARDENS, FL 33418-3778
(561) 775-7775
(561) 932-2730
Mailing address
7100 FAIRWAY DR STE 42, PALM BEACH GARDENS, FL 33418-3778
(561) 775-7775
(561) 293-2730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y915M
BCBS OF FL
FL
Enumeration date
07/28/2006
Last updated
08/07/2023
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