Individual
JONATHAN C STIFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1325 SAN MARCO BLVD, SUITE 102, JACKSONVILLE, FL 32207-8568
(904) 858-7045
(904) 858-7047
Mailing address
1325 SAN MARCO BLVD, SUITE 102, JACKSONVILLE, FL 32207-8568
(904) 858-7045
(904) 858-7047
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22946
FL
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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