Provider Demographics
NPI:1568604718
Name:ABP AVENTURA
Entity Type:Organization
Organization Name:ABP AVENTURA
Other - Org Name:RELAX THE BACK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZACH
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-721-9889
Mailing Address - Street 1:4550 PGA BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3988
Mailing Address - Country:US
Mailing Address - Phone:561-721-9889
Mailing Address - Fax:561-721-9766
Practice Address - Street 1:4550 PGA BLVD
Practice Address - Street 2:STE 101
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3988
Practice Address - Country:US
Practice Address - Phone:561-721-9889
Practice Address - Fax:561-721-9766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment