Provider Demographics
NPI:1174954846
Name:GIRAL, JORGE (DPT, SCS, COMT, CSCS)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:GIRAL
Suffix:
Gender:M
Credentials:DPT, SCS, COMT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22076
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2076
Mailing Address - Country:US
Mailing Address - Phone:561-657-4600
Mailing Address - Fax:
Practice Address - Street 1:300 PALM BEACH LAKES BLVD.
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2711
Practice Address - Country:US
Practice Address - Phone:561-657-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 22781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist