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Organization

GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC

Active
Parent organization
1598847899
Other names
Fyzical Therapy & Balance Centers
Organization subpart
Yes

Provider details

NPI number
Legal business name
1598847899
Authorized official
MR. MICHAEL L GRAVES MSPT (PRESIDENT OWNER)
(561) 432-0111
Entity
Organization

Contact information

Practice address
3385 BURNS RD STE 108, PALM BEACH GARDENS, FL 33410-4328
(561) 432-0111
(561) 432-1075
Mailing address
5840 CORPORATE WAY STE 101, WEST PALM BEACH, FL 33407-2040
(561) 432-0111
(561) 432-1075

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6699392
GHI
FL
05
891951803
FL
01
Y914P
BCBS
FL
Enumeration date
10/12/2006
Last updated
09/02/2025
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