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Organization
PHYSICAL HEALTHCARE OF JACKSONVILLE INC
Active
Organization
PHYSICAL HEALTHCARE OF JACKSONVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A PIERCE DC (CLINIC DIRECTOR)
(904) 645-0777
Entity
Organization
Contact information
Practice address
12620 BEACH BLVD, SUITE 6, JACKSONVILLE, FL 32246-7131
(904) 645-0777
(904) 645-3483
Mailing address
12620 BEACH BLVD, SUITE 6, JACKSONVILLE, FL 32246-7131
(904) 645-0777
(904) 645-3483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH4435
FL
111N00000X
Chiropractor
CH6451
FL
111N00000X
Chiropractor
CH6588
FL
207R00000X
Internal Medicine Physician
Primary
ME55161
FL
208100000X
Physical Medicine & Rehabilitation Physician
ME0060908
FL
225100000X
Physical Therapist
PT30658
FL
332B00000X
Durable Medical Equipment & Medical Supplies
ME0060908
FL
332B00000X
Durable Medical Equipment & Medical Supplies
ME55161
FL
363AM0700X
Medical Physician Assistant
PA9106788
FL
363LF0000X
Family Nurse Practitioner
ARNP 770742
FL
Other
Enumeration date
02/25/2013
Last updated
04/18/2017
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