Organization
FIVE STAR PHYSICAL THERAPY
Active
Organization
FIVE STAR PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ROBERSON (OFFICE MANAGER)
(904) 280-3440
Entity
Organization
Contact information
Practice address
236 PONTE VEDRA PARK DR, SUITE 300, PONTE VEDRA, FL 32082-6619
(904) 280-3440
(904) 280-3444
Mailing address
236 PONTE VEDRA PARK DR, SUITE 300, PONTE VEDRA, FL 32082-6619
(904) 280-3440
(904) 280-3444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT30070
FL
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
Update your record
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