Organization
HEALTHWORKS OF LAKE CITY, INC.
Active
Other names
Healthworks Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A BEARDSLEY PT (OWNER/ADMINISTRATOR)
(386) 752-1652
Entity
Organization
Contact information
Practice address
1206 SW MAIN BLVD, STE 101, LAKE CITY, FL 32025-6684
(386) 752-1652
(386) 752-0939
Mailing address
1206 SW MAIN BLVD, STE 101, LAKE CITY, FL 32025-6684
(386) 752-1652
(386) 752-0939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT17329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y7572
BCBS PROVIDER NUMBER
FL
Enumeration date
06/16/2005
Last updated
01/12/2012
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