MEDICARE: LAKE WORTH PHYSICAL MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH9392	FL

General Provider Information

NPI Number	:	1043579618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKE WORTH PHYSICAL MEDICINE

Provider Business Mailing Address
First Line	:	PO BOX 16836
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33416-6836
Country	:	US
Telephone Number	:	561-868-5668
Fax Number	:	561-868-5702

Provider Business Practice Location Address
First Line	:	1722-A SOUTH CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461
Country	:	US
Telephone Number	:	561-868-5668
Fax Number	:	561-868-5702

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JONATHAN GRAND
Credential	:	D.C.
Telephone Number	:	561-729-7089

Provider Enumeration Date	:	05/16/2012
Last Update Date	:	11/02/2016

Similar Medicare Providers

1144906512 — JOSE CARLOS SUAREZ
Practice Location Address:

214 LAKE ARBOR DR
PALM SPRINGS, FL
33461-2106

Practice Phone: 561-255-9177
Practice Fax:

1851963029 — GREATER FLORIDA ANESTHESIOLOGISTS, LLC
Practice Location Address:

3060 MELALEUCA LN
PALM SPRINGS, FL
33461-5174

Practice Phone: 954-939-5000
Practice Fax: 877-250-6889

1982561205 — LUCIANA ELIZABETH PACHECO CARRION
Practice Location Address:

2500 SPRINGDALE BLVD
PALM SPRINGS, FL
33461-6388

Practice Phone: 561-431-4048
Practice Fax:

1073470456 — DANIELA GUTIERREZ DEAN
Practice Location Address:

2779 10TH AVE N APT 103
PALM SPRINGS, FL
33461-6749

Practice Phone: 561-909-8980
Practice Fax:

1851397939 — CATHERINE C. MARINAK ANRP
Practice Location Address:

1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL
33461-2171

Practice Phone: 561-253-3980
Practice Fax: 561-253-3980

1306843867 — PALM BEACH OUTPATIENT SURGICAL CENTER, LLC
Practice Location Address:

2889 10TH AVE N STE 203
PALM SPRINGS, FL
33461-3045

Practice Phone: 561-469-6208
Practice Fax: 561-725-8795

1700879749 — DANIEL NOAH SACKS M.D.
Practice Location Address:

3199 LAKE WORTH RD STE B1
PALM SPRINGS, FL
33461-3652

Practice Phone: 561-228-1330
Practice Fax: 561-598-7154

Directions to “LAKE WORTH PHYSICAL MEDICINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.