NPI 1073558797

Platinum Rehabilitation, INC

Organisation Exclusive Provider Organization West Palm Beach, FL

Practice location

Address: 110 Century Blvd, West Palm Beach, FL 33417-2262
Phone: (561) 697-3131

Authorised official

Name: Bradford Russell Estra
Title: President
Phone: (561) 697-3131

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Florida →

Registry record

NPI: 1073558797
Entity type: Organization
NPI issued: 17 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.