Organization
GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CONOVER CREDENTIALING (SENIOR CREDENTIALING SPECIALIST)
(561) 432-0111
Entity
Organization
Contact information
Practice address
23172 SANDALFOOT PLAZA DR, BOCA RATON, FL 33428-6627
(561) 432-0111
(561) 432-1075
Mailing address
5840 CORPORATE WAY STE 101, WEST PALM BEACH, FL 33407-2040
(561) 432-0111
(561) 432-1075
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
10/04/2024
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