PHYSICAL MEDICINE OF SOUTH FLORIDA
NPI 1265516611
Physical Medicine & Rehabilitation in Boca Raton, FL

Active since October 24, 2006CLIA 10D2007346 · Waiver
1905 CLINT MOORE ROAD, SUITE 308, BOCA RATON, FL 33496(561) 912-9580(561) 912-9506 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Physical Medicine Of South Florida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICAL MEDICINE OF SOUTH FLORIDA (NPI 1265516611) is a healthcare organization registered as a physical medicine & rehabilitation in Boca Raton, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Flori F Mcginty, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1265516611
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameDANIEL ETTEDGUI, D.O. PA
Location Address1905 CLINT MOORE ROAD, SUITE 308Boca Raton, FL 33496-2658
Mailing Address1905 Clint Moore Road, Suite 308Boca Raton, FL 33496 · (561) 912-9580 · Fax (561) 912-9506
Fax(561) 912-9506
Organization SubpartNo
Authorized OfficialFlori F McgintyPractice Administrator · (561) 912-9580
Enumeration DateOctober 24, 2006
Last NPPES UpdateApril 13, 2012
NPI 1265516611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in FL · OS-6221
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License OS6221 (FL)
1905 CLINT MOORE ROAD, Boca Raton, FL 33496

Other Names 1

Doing Business AsPhysical Medicine Of South Florida

Other Identifiers 2

Medicare ID-Type UnspecifiedK7441FL · Group Provider #
Medicare UPINF25833FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2007346

Physical Medicine Of South Florida · Boca Raton, FL
Active · expires May 13, 2028
CLIA Number10D2007346
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorDaniel Ettedgui
Laboratory Phone(561) 912-9580
Laboratory LocationPhysical Medicine Of South Florida7284 W Palmetto Park Rd Ste 105S, Boca Raton, FL 33433
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1905 CLINT MOORE ROAD, SUITE 308
BOCA RATON, FL 33496
Specialist
1905 CLINT MOORE ROAD, SUITE 308
BOCA RATON, FL 33496
Psychiatry & Neurology (Neurology)
1905 CLINT MOORE ROAD, SUITE 308
BOCA RATON, FL 33496
Nurse Practitioner (Adult Health)
1905 CLINT MOORE ROAD, SUITE 212
BOCA RATON, FL 33496
Internal Medicine
1905 CLINT MOORE ROAD, SUITE 201
BOCA RATON, FL 33496
Internal Medicine
1905 CLINT MOORE ROAD, SUITE 201
BOCA RATON, FL 33496

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Ettedgui, D.O. PA's NPI number?

The NPI number for Daniel Ettedgui, D.O. PA is 1265516611. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Physical Medicine Of South Florida.

Where is Daniel Ettedgui, D.O. PA located?

Daniel Ettedgui, D.O. PA is located at 1905 Clint Moore Road Suite 308, Boca Raton, FL 33496. The listed phone number is (561) 912-9580.

What is Daniel Ettedgui, D.O. PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Does Daniel Ettedgui, D.O. PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2007346) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Daniel Ettedgui, D.O. PA was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.