is a Neuromusculoskeletal Medicine & Omm in Palm Beach Gardens, Florida. practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for is 1497964407. The last update date is .
's current location address is 10887 N Military Trl Ste 5, Palm Beach Gardens, Florida. You can contact this provider via phone number 5613249600 and fax number 5617999980. The mailing address for is 10887 N Military Trl Ste 5, Palm Beach Gardens, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 10887 N Military Trl Ste 5, Palm Beach Gardens, Florida |
| Phone Number | 5613249600 |
| Fax Number | 5617999980 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1497964407 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 10887 N Military Trl Ste 5 |
|---|---|
| City | Palm Beach Gardens |
| State | Florida (FL) |
| Post Code | 334106528 |
| Phone Number | 5613249600 |
| Fax Number | 5617999980 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|---|
| Taxonomy | 204D00000X |
| Licence No | OS9152 |
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Definition: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OS9152 | FL | FLORIDA MEDICAL LICENSE |
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