Jacksonville Orthopaedic Institute INC

NPI #1124176540 in Jacksonville, Florida

Provider Information

NPI Number
1124176540
Entity Type
Organization
Organization Name
Jacksonville Orthopaedic Institute INC
Primary Specialty
Physical Therapist
Enumeration Date
Jan 8, 2007
Last Updated
Jan 8, 2019

Practice Location

Address
1325 SAN MARCO BLVD
Address 2
SUITE 102
State
Florida
ZIP Code
32207-8568
Phone
(904) 557-9021

Authorized Official

Name
MR. TIMOTHY EDWIN WALL, MS. ATC
Title
ADMINISTRATOR
Phone
(904) 858-7045

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Occupational Therapist
Physical Therapist

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