| Organization Name: | FLORIDA WEST COAST PHYSICAL THERAPY & REHABILITATION CENTER INC |
| NPI Number: | 1033257670 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREG B MILLER (OWNER ADMINISTRATOR) |
| Mailing Address: | 256 Nokomis Ave S Suite 2 Venice |
| State: | FL US |
| Postal Code: | 342852357 |
| Phone Number: | 9414841939 |
| Fax Number: | 9414847804 |
| NPI Enumeration Date: | 02/04/2007 |
| NPI Last Update Date: | 06/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 261QP2000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |