Individual
MR. DEREK KENNETH MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4776 HODGES BLVD STE 101, JACKSONVILLE, FL 32224-7218
(904) 223-2363
(904) 223-2365
Mailing address
4776 HODGES BLVD STE 101, JACKSONVILLE, FL 32224-7218
(904) 223-2363
(904) 223-2365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/31/2023
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