Individual
LOU DEMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7600
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
26426
FL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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