MEDICARE: ENDEAVOR PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1851340004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDEAVOR PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	4901 E SILVER SPRINGS BLVD
Second Line	:	SIX GUN PLAZA, SUITE 305
City	:	OCALA
State	:	FL
Zip	:	34470-3228
Country	:	US
Telephone Number	:	352-236-1811
Fax Number	:	352-236-1818

Provider Business Practice Location Address
First Line	:	4901 E SILVER SPRINGS BLVD
Second Line	:	SIX GUN PLAZA, SUITE 305
City	:	OCALA
State	:	FL
Zip	:	34470-3228
Country	:	US
Telephone Number	:	352-236-1811
Fax Number	:	352-236-1818

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ADAM CRISTOPHER GERIL
Credential	:	P.T.
Telephone Number	:	352-236-1811

Provider Enumeration Date	:	05/07/2006
Last Update Date	:	07/01/2008

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Directions to “ENDEAVOR PHYSICAL THERAPY INC ” Practice Location

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