Organization
NATURE COAST REHABILITATION INC
Active
Other names
Nature Coast Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH HICKS PT (OWNER)
(352) 529-0012
Entity
Organization
Contact information
Practice address
37 SOUTH MAIN STREET, SUITE C, WILLISTON, FL 32696-2548
(352) 529-0012
(352) 528-2878
Mailing address
25050 W NEWBERRY ROAD, NEWBERRY, FL 32669-5050
(352) 472-1400
(352) 472-1300
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298499
AVMED
FL
05
—
890647500
—
FL
Enumeration date
10/16/2006
Last updated
01/15/2009
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