Organization
PROGRESSIVE PHYSICAL THERAPY SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE GOFFIN (PRESIDENT)
(941) 743-8700
Entity
Organization
Contact information
Practice address
17751 MURDOCK CIR, PORT CHARLOTTE, FL 33948-1034
(941) 743-8700
(941) 743-8850
Mailing address
17751 MURDOCK CIR, PORT CHARLOTTE, FL 33948-1034
(941) 743-8700
(941) 743-8850
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y911K
BC/BS
FL
Enumeration date
05/13/2006
Last updated
08/22/2020
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