Provider Demographics
NPI:1376712216
Name:GULF COAST THERAPY AND REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:GULF COAST THERAPY AND REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:EDSEL
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-433-2072
Mailing Address - Street 1:217 AIRPORT RD S
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-3531
Mailing Address - Country:US
Mailing Address - Phone:239-775-2449
Mailing Address - Fax:
Practice Address - Street 1:217 AIRPORT RD S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-3531
Practice Address - Country:US
Practice Address - Phone:239-775-2449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8096261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy