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Contact Information

GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC
9897 LAKE WORTH RD
SUITE 203
LAKE WORTH, FL33467
 Phone: 561-432-0111
 Fax: 561-432-1075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC

NPI # 1114026523
LBN Legal business name GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC
Authorized official MICHAEL GRAVES - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/22/2006
Last updated 09/02/2025 - About 9 months ago
Identifiers
FL Medicaid 891951802
FL Other Y913X BCBS
FL Other 6699392 GHI
FL Other K2416 MEDICARE GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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