Atlantic Coast Medical Rehab

NPI 1104115112 - Specialist - 174400000X

NPI Details
NPI 1104115112
Enumeration Date 03/30/2011
Last Updated 03/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TRACI TRACI
Position ADMINISTRATOR
Phone (904) 996-8293
Fax (904) 996-1497
Practice Location
12187 BEACH BLVD
SUITE 1
JACKSONVILLE FL, 32246-0676, US
Phone (904) 996-8293
Fax (904) 996-1497
Business Location
12187 BEACH BLVD
SUITE 1
JACKSONVILLE FL, 32246-0676, US
Phone (904) 996-8293
Fax (904) 996-1497
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME79945
Remove 1104115112 NPI Number
 

According to our database, Atlantic Coast Medical Rehab NPI is 1104115112, taxonomy code is 174400000X and license number is ME79945, license state is located at Florida. Atlantic Coast Medical Rehab physically located at 12187 Beach Blvd, Jacksonville FL, 32246-0676. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104115112 NPI number is provided on an as is basis without warranty of any kind. 1104115112 is maintained by the National Plan & Provider Enumeration System. The contents of Atlantic Coast Medical Rehab are for informational purposes only.