Jacksonville Orthopaedic Institute INC

NPI #1346399698 in Jacksonville, Florida

Provider Information

NPI Number: 1346399698
Entity Type: Organization
Organization Name: Jacksonville Orthopaedic Institute INC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 9, 2007
Last Updated: Jan 24, 2019

Practice Location

Address: 14985 OLD SAINT AUGUSTINE RD
Address 2: SUITE 106
City: Jacksonville
State: Florida
ZIP Code: 32258-9477
Phone: (904) 288-9491

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Massage Therapist	225700000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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