Gulf Coast Med Ctr Physical Therapy

NPI #1700852357 in Port Richey, Florida

Provider Information

NPI Number: 1700852357
Entity Type: Organization
Organization Name: Gulf Coast Med Ctr Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Feb 24, 2006
Last Updated: Aug 27, 2012

Practice Location

Address: 11528 US HIGHWAY 19
City: Port Richey
State: Florida
ZIP Code: 34668-1442
Phone: (727) 861-4770

Authorized Official

Name: LORI BRIENZA, RN, LHRM, CCS-P
Title: FACILITIES DIRECTOR
Phone: (727) 868-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Physical Therapist	225100000X	Primary

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