Organization
NATURE COAST REHABILITATION INC
Active
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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