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General NPI Number Information
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NPI Number | 1144907981
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Entity Type | Organization
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Legal Business Name | PALM COAST MOBILE PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 17 CHERRYTREE CT
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City | PALM COAST
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State | FL
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Zip | 32137-9050
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Country | US
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Telephone | 407-718-1910
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Fax |
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Provider Business Mailing Address
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Address Line | 17 CHERRYTREE CT
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City | PALM COAST
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State | FL
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Zip | 32137-9050
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Country | US
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Telephone | 407-718-1910
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Fax | 386-610-1031
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER LYNN ELFRINK
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Credential |
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Telephone | 407-718-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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