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UNITED RECOVERY COAST NPI 1245780220


NPI Information

NPI: 1245780220
Provider Name: UNITED RECOVERY COAST

Doing Business As: RECOVERY COAST

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
340 16TH AVE N
JACKSONVILLE, FL
ZIP 32250
Phone: (904) 429-4422
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UNITED RECOVERY COAST is a rehabilitation clinic center in Jacksonville, FL. UNITED RECOVERY COAST NPI is 1245780220. The provider is registered as an organization entity type.
The provider Is Doing Business As Recovery Coast.

The provider's business location address is:

340 16TH AVE N
JACKSONVILLE, FL
ZIP 32250-819
Phone: (904) 429-4422

The provider's authorized official is Tim Johnson .
The authorized official title is Ceo and has the following contact phone number (904) 429-4422.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 10/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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