Organization
NATURE COAST REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH JOHNSON HICKS PT (OWNER/PRESIDENT)
(352) 528-0022
Entity
Organization
Contact information
Practice address
1315 NW 21ST AVE, CHIEFLAND, FL 32626-1959
(352) 493-2999
(352) 493-0026
Mailing address
PO BOX 518, WILLISTON, FL 32696-0518
(352) 493-2999
(352) 493-0026
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890647500
—
FL
01
—
Y915G
PHYSICAL THERAPY-BCBS
FL
Enumeration date
04/27/2006
Last updated
06/02/2008
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