Gulf Coast Rehabilitation Services, Inc.
Legal Business Name
Gulf Coast Rehabilitation Services, Inc.
NPI Number
1447569264
NPI Type
Organization
Enumeration Date
09/28/2010
Specialties
(Taxonomies)Name
Code
101YA0400X
103K00000X
1041C0700X
101Y00000X
101YM0800X
101YP2500X
102L00000X
104100000X
Primary Taxonomy
No
No
No
No
No
No
No
No
Licenses
State
Florida
Florida
Florida
License Number
5525
SW7468
MH11189
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 13798
3825 HENDERSON BLVD
City
Tampa
Tampa
State
FL
FL
Postal Code
33681-3798
33629-5037
Country
US
US
Telephone Number
(877) 957-3422
(877) 957-3422
Authorized Official
Name
Dr. Joshua Shannon
Title or Position
CEO
Telephone Number
(877) 957-3422
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/19/2014