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Organization
FUNCTIONAL RESTORATION CORP
Active
Organization
FUNCTIONAL RESTORATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL A WALDMAN PT (DIRECTOR)
(305) 613-1966
Entity
Organization
Contact information
Practice address
575 CRANDON BLVD, SUITE 609, KEY BISCAYNE, FL 33149-1869
(305) 613-1966
(305) 365-1773
Mailing address
575 CRANDON BLVD, SUITE 609, KEY BISCAYNE, FL 33149-1869
(305) 613-1966
(305) 365-1773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 20915
FL
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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