Individual
MATTHEW JOSEPH JEFFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 ORTHOPAEDIC PL, ST AUGUSTINE, FL 32086-4202
(904) 825-0540
(904) 209-1055
Mailing address
906 SHORE DR, ST AUGUSTINE, FL 32086-5748
(904) 825-0540
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT7191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174540001
DMERC
FL
01
—
PT 7191
FLORDIA LICENSE
FL
Enumeration date
03/08/2007
Last updated
02/11/2008
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