Organization
ADVANCE CARE PHYSICAL THERAPY PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL MASTOV DPT (PRESIDENT)
(347) 255-8255
Entity
Organization
Contact information
Practice address
4968 NW 106TH WAY, CORAL SPRINGS, FL 33076-2713
(347) 255-8255
(718) 554-3034
Mailing address
4968 NW 106TH WAY, CORAL SPRINGS, FL 33076-2713
(347) 255-8255
(718) 554-3034
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02924418
—
NY
Enumeration date
08/11/2020
Last updated
08/11/2020
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