PHYSICAL WELLNESS AND REHABILITATION LLC NPI 1992307920

NPI Information

NPI: 1992307920
Provider Name: PHYSICAL WELLNESS AND REHABILITATION, LLC

Doing Business As: PHYSWELL REHAB

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
14797 PHILIPS HWY STE 114
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 705-5543
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PHYSICAL WELLNESS AND REHABILITATION, LLC is a rehabilitation clinic center in Jacksonville, FL. PHYSICAL WELLNESS AND REHABILITATION, LLC NPI is 1992307920. The provider is registered as an organization entity type.
The provider Is Doing Business As Physwell Rehab.

The provider's business location address is:

14797 PHILIPS HWY STE 114
JACKSONVILLE, FL
ZIP 32256-747
Phone: (904) 705-5543

The provider's authorized official is Lauren Shute .
The authorized official title is Owner and has the following contact phone number (904) 910-2574.

The enumeration date for this NPI number is 11/13/2020 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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