| |
9850 Alternate A1a Ste 504, Palm Beach Gardens, FL 33410-4936 | |
(305) 570-1666 | |
(305) 203-0546 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 9850 Alternate A1a Ste 504, Palm Beach Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699325100 | NPI | - | NPPES |
9103680 | Other | FL | MEDICAL LICENSE |
PT19324 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Paul A Laine |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285829283 PECOS PAC ID: 8426201484 Enrollment ID: I20121227000269 |
Mailing Address | Practice Location Address |
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9850 Alternate A1a Ste 504, Palm Beach Gardens, FL 33410-4936 Ph: (305) 570-1666 | 9850 Alternate A1a Ste 504, Palm Beach Gardens, FL 33410-4936 Ph: (305) 570-1666 |