Organization
LOGISTICS THERAPY OF BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GRULLON (PRESIDENT)
(954) 577-3003
Entity
Organization
Contact information
Practice address
1852 N UNIVERSITY DR, PLANTATION, FL 33322-4117
(954) 577-3003
(954) 577-3005
Mailing address
1852 N UNIVERSITY DR, PLANTATION, FL 33322-4117
(954) 577-3003
(954) 577-3005
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
05/02/2008
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