Concierge Pt Vip Llc | |
3077 Waterside Cir, Boynton Beach, FL 33435-6401 | |
(315) 525-6860 | |
Not Available |
Full Name | Concierge Pt Vip Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 3077 Waterside Cir, Boynton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801537386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Joseph J Martin |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538219894 PECOS PAC ID: 6305838699 Enrollment ID: I20220506001514 |
Mailing Address | Practice Location Address |
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Concierge Pt Vip Llc 3077 Waterside Cir, Boynton Beach, FL 33435-6401 Ph: (315) 525-6860 | Concierge Pt Vip Llc 3077 Waterside Cir, Boynton Beach, FL 33435-6401 Ph: (315) 525-6860 |
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