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ATLANTIC COAST MEDICAL REHAB
NPI 1104115112
Specialist in Jacksonville, FL

Active since March 30, 2011
13171 ATLANTIC BLVD. SUITE #100, JACKSONVILLE, FL 32225(904) 888-6095(904) 280-5238 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Atlantic Coast Medical Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIC COAST MEDICAL REHAB (NPI 1104115112) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since March 2011. The organization lists Traci Rosenstein, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104115112
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameATLANTIC COAST MEDICAL REHAB
Location Address13171 ATLANTIC BLVD. SUITE #100Jacksonville, FL 32225
Mailing Address13171 Atlantic Blvd. Suite #100Jacksonville, FL 32225 · (904) 888-6095 · Fax (904) 280-5238
Phone(904) 888-6095
Fax(904) 280-5238
Organization SubpartNo
Authorized OfficialTraci RosensteinAdministrator · (904) 888-6095
Enumeration DateMarch 30, 2011
Last NPPES UpdateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1104115112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME79945
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other Identifiers 1

Other001KMFL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlantic Coast Medical Rehab's NPI number?

The NPI number for Atlantic Coast Medical Rehab is 1104115112. It was assigned to this organization in the NPPES registry on March 30, 2011.

Where is Atlantic Coast Medical Rehab located?

Atlantic Coast Medical Rehab is located at 13171 Atlantic Blvd. Suite #100, Jacksonville, FL 32225. The listed phone number is (904) 888-6095.

What is Atlantic Coast Medical Rehab's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Atlantic Coast Medical Rehab was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.