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Organization
JBA SOUTH LLC
Active
Organization
JBA SOUTH LLC
Active
Other names
Scoliosisptjax
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNE ORDILE PT (OWNER)
(904) 881-7612
Entity
Organization
Contact information
Practice address
13000 SAWGRASS VILLAGE CIR STE 14, PONTE VEDRA BEACH, FL 32082-3078
(904) 881-7612
(770) 872-8294
Mailing address
4150 CORDGRASS INLET DR, JACKSONVILLE, FL 32250-1821
(904) 881-7612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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