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Individual

MR. JASON M. BENECIUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 858-7303
Mailing address
112 CYPRESS LNDG, JACKSONVILLE, FL 32259-3818
(904) 230-7565

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT20761
FL

Other

Enumeration date
05/06/2009
Last updated
05/06/2009
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