Organization
LOGISTICS THERAPY OF BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL F GRULLON (ADMINISTRATOR)
(954) 577-3003
Entity
Organization
Contact information
Practice address
1852 N UNIVERSITY DRIVE, PLANTATION, FL 33322
(954) 577-3003
(954) 577-3005
Mailing address
1852 N UNIVERSITY DRIVE, PLANTATION, FL 33322
(954) 577-3003
(954) 577-3005
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC3962
FL
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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