| Gordium Trauma Recovery, Llc | |
|
4723 W Atlantic Ave Delray Beach FL 33445-3895 | |
| (156) 156-2067 | |
| (156) 126-5567 |
| Full Name | Gordium Trauma Recovery, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4723 W Atlantic Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Arpana Shivdasani (PHYSICIANS ASSISTANT) |
| Authorized Official Contact | 15615620674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordium Trauma Recovery, Llc 4723 W Atlantic Ave Ste A11 Delray Beach FL 33445-3895 Ph: (156) 156-2067 | Gordium Trauma Recovery, Llc 4723 W Atlantic Ave Delray Beach FL 33445-3895 Ph: (156) 156-2067 |
| NPI Number | 1487100533 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487100533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PA9108944 (Florida) | Primary |
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