Organization
ACCIDENT AND WELLNESS CLINICS
Active
Other names
Grand Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL FOSS DC. BS. (MM)
(786) 370-1111
Entity
Organization
Contact information
Practice address
4212 NORTH LAKE BLVD, PALM BEACH GARDENS, FL 33410
(561) 627-2821
(651) 627-0542
Mailing address
PO BOX 6455, WEST PALM BEACH, FL 33410
(561) 429-5840
(561) 429-5804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9389
FL
207X00000X
Orthopaedic Surgery Physician
ME98091
FL
208100000X
Physical Medicine & Rehabilitation Physician
ME62002
FL
Other
Enumeration date
06/03/2009
Last updated
07/15/2010
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