Individual
BRENDAN MICHAEL BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 DUNN AVE, JACKSONVILLE, FL 32218-4830
(904) 757-1782
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35027
FL
Other
Enumeration date
09/13/2019
Last updated
02/06/2024
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