Individual
MR. COREY JASON ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
5939 ROOSEVELT BLVD, JACKSONVILLE, FL 32244
(904) 412-2882
Mailing address
6454 GINNIE SPRINGS RD, JACKSONVILLE, FL 32258-5102
(904) 477-6462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0244811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892311600
—
FL
Enumeration date
08/03/2006
Last updated
12/06/2019
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