Organization
VENICE REHAB, LLC
Active
Other names
FYZICAL Therapy and Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ELDON DOUGLASS (CHIEF CLINICAL OFFICER)
(941) 870-4401
Entity
Organization
Contact information
Practice address
2203 S TAMIAMI TRL, VENICE, FL 34293-5016
(941) 408-0670
(941) 408-0160
Mailing address
PO BOX 632649, CINCINNATI, OH 45263-2649
(941) 408-0670
(941) 408-0160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9A
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
08/09/2005
Last updated
08/21/2025
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