Organization
GORDIUM TRAUMA RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARPANA SHIVDASANI P.A. (PHYSICIANS ASSISTANT)
15615620674
Entity
Organization
Contact information
Practice address
4723 W ATLANTIC AVE, DELRAY BEACH, FL 33445-3895
(156) 156-2067
(156) 126-5567
Mailing address
4723 W ATLANTIC AVE STE A11, DELRAY BEACH, FL 33445-3895
(156) 156-2067
(561) 265-5673
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PA9108944
FL
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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