Individual
COLIN MADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1215 DUNN AVE STE 6, JACKSONVILLE, FL 32218-4897
(904) 751-2000
Mailing address
1000 3RD ST APT 6D, NEPTUNE BEACH, FL 32266-5051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33002
FL
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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