Active Health Care, Pa | |
6500 Bowden Rd, 200, Jacksonville, FL 32216-8070 | |
(904) 296-0202 | |
Not Available |
Full Name | Active Health Care, Pa |
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Type | Facility |
Speciality | Physical Therapist |
Location | 6500 Bowden Rd, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457797557 | NPI | - | NPPES |
HT208A | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Christopher T Brown |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609209964 PECOS PAC ID: 7315170198 Enrollment ID: I20140501000765 |
Mailing Address | Practice Location Address |
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Active Health Care, Pa 6500 Bowden Rd, 200, Jacksonville, FL 32216-8070 Ph: (904) 296-0202 | Active Health Care, Pa 6500 Bowden Rd, 200, Jacksonville, FL 32216-8070 Ph: (904) 296-0202 |
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