Organization
ALL COAST THERAPY SERVICES OUTPATIENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G HORSLEY PT (OWNER)
(352) 751-6005
Entity
Organization
Contact information
Practice address
13940 N US HIGHWAY 441, BUILDING 700, SUITE 702, LADY LAKE, FL 32159-8953
(352) 751-6005
(352) 751-5168
Mailing address
13940 NORTH US HWY 441, BUILDING 700, SUITE 702, LADY LAKE, FL 32159-8953
(352) 751-6005
(352) 751-5168
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS4
BLUE SHIELD FACILITY PROV
FL
Enumeration date
04/10/2006
Last updated
07/10/2023
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