Individual
EMIL MITCHELL AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL 32204-4717
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42105
FL
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/14/2019
Last updated
05/13/2025
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