Organization
PRO MOTION THERAPY OF LAKE CITY LLC
Active
Other names
FYZICAL Therapy & Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ELDON DOUGLASS (CHIEF CLINICAL OFFICER)
(239) 947-4184
Entity
Organization
Contact information
Practice address
945 SW MAIN BLVD, LAKE CITY, FL 32025-5746
(386) 755-3164
(386) 755-3165
Mailing address
PO BOX 632670, CINCINNATI, OH 45263-2670
(702) 818-5000
(702) 818-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2011
Last updated
08/20/2025
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