Organization
BANT, LLC
Active
Other names
dba Acreage Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT RICHMAN PT (PRESIDENT)
(561) 775-7775
Entity
Organization
Contact information
Practice address
10130 NORTHLAKE BLVD, SUITE 212, WEST PALM BEACH, FL 33412-1101
(561) 775-7775
(561) 775-7807
Mailing address
10130 NORTHLAKE BLVD, SUITE 212, WEST PALM BEACH, FL 33412-1101
(561) 775-7775
(561) 775-7807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y060X
BCBS OF FL
FL
Enumeration date
07/28/2006
Last updated
05/20/2008
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