Provider Demographics
NPI:1851340004
Name:ENDEAVOR PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:ENDEAVOR PHYSICAL THERAPY INC
Other - Org Name:GERIL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:CRISTOPHER
Authorized Official - Last Name:GERIL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-236-1811
Mailing Address - Street 1:4901 E SILVER SPRINGS BLVD
Mailing Address - Street 2:SIX GUN PLAZA, SUITE 305
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-3228
Mailing Address - Country:US
Mailing Address - Phone:352-236-1811
Mailing Address - Fax:352-236-1818
Practice Address - Street 1:4901 E SILVER SPRINGS BLVD
Practice Address - Street 2:SIX GUN PLAZA, SUITE 305
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-3228
Practice Address - Country:US
Practice Address - Phone:352-236-1811
Practice Address - Fax:352-236-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-07
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty