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Performance Physical Medicine And Rehab

Physical Medicine & Rehabilitation, Sports Medicine in Jacksonville Beach, FL. Organization (NPI-2).

NPI number1720456254
StatusActive
Last updated in NPPESSep 15, 2015

Details

NPI
1720456254
Entity type
Organization (NPI-2)
Legal business name
Performance Physical Medicine And Rehab
Organization subpart
No
Enumeration date
Sep 15, 2015
Last updated
Sep 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine––Yes

Other names

  • Performance Physical Medicine (Doing Business As)

Practice location

333 5th Ave N
Jacksonville Beach, FL 32250-5611

Phone 904-241-7907 · Fax 904-241-1401

Mailing address

333 5th Ave N
Jacksonville Beach, FL 32250-5611

Phone 904-241-7907 · Fax 904-241-1401

Authorized official

Casey G Morris
Owner/ Chiropractor
9042417907

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