Healthcare Provider Details
I. General information
NPI: 1538137252
Provider Name (Legal Business Name): ALMBERG CLINICS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2006
Last Update Date: 04/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31 LUPI CT SUITE 150
PALM COAST FL
32137-4761
US
IV. Provider business mailing address
31 LUPI CT SUITE 150
PALM COAST FL
32137-4761
US
V. Phone/Fax
- Phone: 386-447-0011
- Fax: 386-447-0161
- Phone: 386-447-0011
- Fax: 386-447-0161
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
B
BOWE
Title or Position: PRESIDENT
Credential: COTA L
Phone: 386-447-0011