Healthcare Provider Details

I. General information

NPI: 1851340004
Provider Name (Legal Business Name): ENDEAVOR PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2006
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 E SILVER SPRINGS BLVD SIX GUN PLAZA, SUITE 305
OCALA FL
34470-3228
US

IV. Provider business mailing address

4901 E SILVER SPRINGS BLVD SIX GUN PLAZA, SUITE 305
OCALA FL
34470-3228
US

V. Phone/Fax

Practice location:
  • Phone: 352-236-1811
  • Fax: 352-236-1818
Mailing address:
  • Phone: 352-236-1811
  • Fax: 352-236-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM CRISTOPHER GERIL
Title or Position: PRESIDENT
Credential: P.T.
Phone: 352-236-1811