Provider Demographics
NPI:1215200571
Name:RICE, JEFFREY CHRISTOPHER (DPT)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:CHRISTOPHER
Last Name:RICE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-3308
Mailing Address - Country:US
Mailing Address - Phone:305-490-9701
Mailing Address - Fax:
Practice Address - Street 1:211 S INDIANA AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-3308
Practice Address - Country:US
Practice Address - Phone:999-999-9999
Practice Address - Fax:999-999-9999
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27072225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist