Individual
ELZA VAN NIEKERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
869 STOCKTON ST STE 300, JACKSONVILLE, FL 32204-3588
(904) 504-3226
Mailing address
8680 BAYMEADOWS RD E APT 1235, JACKSONVILLE, FL 32256-3997
(904) 504-3226
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT33366
FL
Other
Enumeration date
04/10/2018
Last updated
01/28/2020
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