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Organization
PALM BEACH AQUATICS & PHYSICAL THERAPY INC
Active
Organization
PALM BEACH AQUATICS & PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRI HERNANDEZ MOTE (PRESIDENT)
(561) 865-2800
Entity
Organization
Contact information
Practice address
3111 W BOYNTON BEACH BLVD, SUITE 200, BOYNTON BEACH, FL 33436-4613
(561) 742-3283
(561) 742-3280
Mailing address
5130 LINTON BLVD, SUITE H-1, DELRAY BEACH, FL 33484-6596
(561) 865-2800
(561) 865-0097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB1527
RAILROAD MEDICARE
FL
01
—
Y90RQ
BCBS
FL
01
—
Y912H
BCBS GROUP NUMBER
FL
Enumeration date
02/13/2006
Last updated
08/28/2014
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