Individual
STACI BALKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 345-7600
Mailing address
2414 IRONWOOD DR, JACKSONVILLE, FL 32216-2521
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT 29038
FL
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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