Provider Profile
PALATKA PHYSICAL THERAPY, LLC
Health Care Clinic
FACILITY PROFILE
Street Address
- 3715 CRILL AVE
PALATKA, FL 32177
County: Putnam - Phone: (386) 329-2613
Mailing Address
- 3715 CRILL AVE
PALATKA, FL 32177
County: Putnam - Phone: (386) 329-2613
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | |||||||||
| Medical or Clinic Director: | JOHN MILES FRISVOLD | |||||||||
| Administrator: | JOHN MILES FRISVOLD | |||||||||
| Owner/Licensee: | PALATKA PHYSICAL THERAPY, LLC | |||||||||
| Owner/Licensee Since: | 10/4/2007 | |||||||||
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| Profit Status: | Not-For-Profit | |||||||||
| Licensed Beds: | Not Available | |||||||||
| AHCA Number (File Number): | 8209 | |||||||||
| AHCA Field Office: | 03 | |||||||||
| License Number: | 7935 | |||||||||
| Current License Effective: | 3/3/2024 | |||||||||
| Current License Expires: | 3/2/2026 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Specialty: | PIP Recipient |
| Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.