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Organization
MED DIAGNOSTIC REHAB OF SOUTH FLORIDA
Active
Organization
MED DIAGNOSTIC REHAB OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HOFFMAN (PRESIDENT)
(561) 312-1120
Entity
Organization
Contact information
Practice address
8188 JOG RD, SUITE 102, BOYNTON BEACH, FL 33472-2952
(561) 649-5720
(561) 649-5719
Mailing address
8188 JOG RD, SUITE 102, BOYNTON BEACH, FL 33472-2952
(561) 649-5720
(561) 649-5719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686684
MEDICARE PROVIDER NUMBER
FL
Enumeration date
03/11/2010
Last updated
03/11/2010
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