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Organization
DYNAMIC MEDICAL REHABILITATION CENTER OF DEERFIELD BEACH
Active
Organization
DYNAMIC MEDICAL REHABILITATION CENTER OF DEERFIELD BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R BASTKOWSKI M.D. (PRESIDENT)
(954) 421-2005
Entity
Organization
Contact information
Practice address
342 S POWERLINE RD, DEERFIELD BEACH, FL 33442-8105
(954) 421-2005
(954) 421-4285
Mailing address
342 S POWERLINE RD, DEERFIELD BEACH, FL 33442-8105
(954) 421-2005
(954) 421-4285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77325A
BCBS
FL
Enumeration date
04/20/2007
Last updated
08/22/2020
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