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Organization
JOHN GOETZE PHYSICAL THERAPY, INC
Active
Organization
JOHN GOETZE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GOETZE (OWNER)
(904) 421-2119
Entity
Organization
Contact information
Practice address
2349 VILLAGE SQUARE PKWY, SUITE 121B, FLEMING ISLAND, FL 32003-6355
(904) 421-2119
Mailing address
PO BOX 8847, FLEMING ISLAND, FL 32006-0019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y921P
BCBS
FL
Enumeration date
11/09/2006
Last updated
12/04/2012
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