Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Atlantic Coast Medical Rehab

Organization Specialist · NPI 1104115112

Atlantic Coast Medical Rehab provides Specialist services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011

Practice location Address checks out

13171 Atlantic Blvd Ste #100
Jacksonville, FL 32225
Phone: (904) 888-6095
Fax: (904) 280-5238
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME79945 (FL)

Record details

NPI number1104115112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci Rosenstein — Administrator · (904) 888-6095
NPI enumeratedMarch 30, 2011
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address13171 Atlantic Blvd. Suite #100, Jacksonville, FL 32225

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