Individual
MR. BONGSAM CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
11504 NW 15TH LN, GAINESVILLE, FL 32606-1400
(352) 332-0572
Mailing address
11504 NW 15TH LN, GAINESVILLE, FL 32606-1400
(352) 332-0572
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT8796
FL
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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