Organization
PLATINUM REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADFORD RUSSELL ESTRA (PRESIDENT)
(561) 697-3131
Entity
Organization
Contact information
Practice address
110 CENTURY BLVD, WEST PALM BEACH, FL 33417-2262
(561) 697-3131
Mailing address
110 CENTURY BLVD, WEST PALM BEACH, FL 33417-2262
(561) 697-3131
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
FL
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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