Organization
EMPOWER SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN SMOTHERMON PT, DPT, ATC (OWNER)
(904) 323-1915
Entity
Organization
Contact information
Practice address
142 SAGE HEN DR, ST AUGUSTINE, FL 32095-0048
(904) 323-1915
Mailing address
142 SAGE HEN DR, ST AUGUSTINE, FL 32095-0048
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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