Organization
COASTAL REHAB AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOSEPH SIBILLE DPT (OWNER)
(904) 501-4344
Entity
Organization
Contact information
Practice address
360 PALM COAST PKWY NE, PALM COAST, FL 32137-3805
(386) 446-4101
(386) 447-2161
Mailing address
360 PALM COAST PKWY NE, PALM COAST, FL 32137-3805
(386) 446-4101
(386) 447-2161
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT21524
FL
Other
Enumeration date
03/18/2013
Last updated
06/09/2022
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