Organization
HEADSTART CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GRUSKIN CO (CEO)
(561) 702-3094
Entity
Organization
Contact information
Practice address
900 NW 13TH ST, BOCA RATON, FL 33486-2335
(561) 702-3094
Mailing address
1071 NE 83RD ST, MIAMI, FL 33138-4137
(561) 702-3094
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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