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Individual

SAMEH KHAYAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
4101 SOUTHPOINT DR E, JACKSONVILLE, FL 32216-0996
(904) 296-6800
Mailing address
8180 PRESLEY DR, JACKSONVILLE, FL 32216-0079
(904) 405-3605

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31227
FL

Other

Enumeration date
09/09/2021
Last updated
09/09/2021
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