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Organization

MIKSELL PHYSICAL THERAPY & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAYLOR MIKSELL PT, DPT (OWNER/PRACTIONER)
(904) 662-0868
Entity
Organization

Contact information

Practice address
13241 BARTRAM PARK BLVD UNIT 609, JACKSONVILLE, FL 32258-5214
(904) 662-0868
Mailing address
10977 MANDARIN STATION DR W, JACKSONVILLE, FL 32257-3901
(904) 662-0868

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
10/23/2023
Last updated
11/10/2023
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