Individual
MR. JEAN T. PROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3132 BEACH BOULEVARD, JACKSONVILLE, FL 32207-3710
(904) 398-7118
Mailing address
3132 BEACH BOULEVARD, JACKSONVILLE, FL 32207-3710
(904) 398-7118
(904) 398-7114
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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