Organization
COLTMAN AND BAUGHMAN PHYSICAL THERAPY PA
Active
Organization
COLTMAN AND BAUGHMAN PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HENRY BAUGHMAN PT (PARTNER)
(904) 853-5106
Entity
Organization
Contact information
Practice address
2370-2 3RD ST S, JACKSONVILLE BEACH, FL 32250-4023
(904) 853-5106
(904) 853-5107
Mailing address
2370-2 3RD ST S, JACKSONVILLE BEACH, FL 32250-4023
(904) 853-5106
(904) 853-5107
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
19458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015235500
—
FL
Enumeration date
05/04/2014
Last updated
05/05/2016
Update your record
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