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Organization
ACCIDENT AND WELLNESS CLINICS
Active
Organization
ACCIDENT AND WELLNESS CLINICS
Active
Other names
Grand Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL FOSS DC. BS. (MM)
(786) 370-1111
Entity
Organization
Contact information
Practice address
4212 NORTH LAKE BLVD, PALM BEACH GARDENS, FL 33410
(561) 627-2821
(651) 627-0542
Mailing address
PO BOX 6455, WEST PALM BEACH, FL 33410
(561) 429-5840
(561) 429-5804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9389
FL
207X00000X
Orthopaedic Surgery Physician
ME98091
FL
208100000X
Physical Medicine & Rehabilitation Physician
ME62002
FL
Other
Enumeration date
06/03/2009
Last updated
07/15/2010
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