Gold Coast Therapy

NPI #1417140948 in Plantation, Florida

Provider Information

NPI Number: 1417140948
Entity Type: Organization
Organization Name: Gold Coast Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Aug 17, 2007
Last Updated: Aug 17, 2007

Practice Location

Address: 9213 W SUNRISE BLVD
City: Plantation
State: Florida
ZIP Code: 33322-5222
Phone: (954) 288-8667

Authorized Official

Name: MR. RAYMOND EARL MASSE, MSPT
Title: PRESIDENT
Phone: (954) 288-8667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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