Individual
MR. BRIAN JOSEPH BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1361 13TH AVE S STE 160, JACKSONVILLE BEACH, FL 32250-3235
(904) 339-8406
(904) 339-8407
Mailing address
105 SOUTHPARK BLVD STE B201, SAINT AUGUSTINE, FL 32086-5159
(904) 824-1636
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22603
PT LICENSE
FL
Enumeration date
12/13/2006
Last updated
11/20/2023
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