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General NPI Number Information
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NPI Number | 1558239889
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Entity Type | Organization
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Legal Business Name | GOO LLC TOTAL MUSCULOSKELETAL CARE
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 951 NW 13TH ST STE 5B
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-858-8767
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Fax | 831-630-5786
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Provider Business Mailing Address
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Address Line | 843 SAN BENITO ST
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City | HOLLISTER
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State | CA
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Zip | 95023-4878
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Country | US
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Telephone | 831-630-5754
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Fax | 831-630-5786
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Authorized Official
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Title or Position | OWNER
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Name | UDAY MATHUR
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Credential | MD
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Telephone | 408-607-8563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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