Organization
ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Organization
ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM M SCHOENBERG PT ATC (OWNER)
(904) 292-0195
Entity
Organization
Contact information
Practice address
12421 SAN JOSE BLVD, STE 100, JACKSONVILLE, FL 32223-2680
(904) 292-0195
(904) 292-0566
Mailing address
12421 SAN JOSE BLVD, STE 100, JACKSONVILLE, FL 32223-2680
(904) 292-0195
(904) 292-0566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699778001
CIGNA
—
01
—
7865018
AETNA
—
Enumeration date
08/23/2005
Last updated
10/05/2020
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