Organization
GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC
Active
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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