Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Coast Medical Rehab

Organization Specialist · NPI 1104115112

Atlantic Coast Medical Rehab is a Specialist 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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