Organization
PARKWAY PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD GOLDSTEIN (VICE PRESIDENT)
(352) 787-9300
Entity
Organization
Contact information
Practice address
600 W NORTH BLVD, LEESBURG, FL 34748-5063
(352) 787-9300
Mailing address
PO BOX 491654, LEESBURG, FL 34749-1654
(352) 787-9300
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y910
BCBS FACILITY NUMBER
FL
Enumeration date
04/17/2007
Last updated
07/15/2008
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