Organization
PHYSICAL WELLNESS AND REHABILITATION, LLC
Active
Other names
PhysWell Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN SHUTE (OWNER)
(904) 910-2574
Entity
Organization
Contact information
Practice address
14797 PHILIPS HWY STE 114, JACKSONVILLE, FL 32256-3747
(904) 705-5543
Mailing address
14797 PHILIPS HWY STE 114, JACKSONVILLE, FL 32256-3747
(904) 705-5543
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
02/22/2023
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