Xlb Physical Medicine, LLC
Nurse Practitioner, Family in Village Of Golf, FL. Organization (NPI-2).
NPI number1548043995
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1548043995
- Entity type
- Organization (NPI-2)
- Legal business name
- Xlb Physical Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2023
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Practice location
4760 Woolbright Rd Ste 103Village Of Golf, FL 33436-6620
Phone 561-323-3201 · Fax 561-431-0828
Mailing address
4760 Woolbright Rd Ste 103Village Of Golf, FL 33436-6620
Phone 561-323-3201 · Fax 561-431-0828
Authorized official
Andrew Bosier
Owner
5613233201
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