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NPI Code Detail

MEDICARE: JODI MARGARET FIZER P.T.

MEDICARE:   JODI MARGARET FIZER  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8496FL

General Provider Information

NPI Number : 1285875526
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI MARGARET FIZER P.T.
Provider Business Mailing Address
First Line : 3 TURTLEBACK TRL
Second Line :
City : PONTE VEDRA BEACH
State : FL
Zip : 32082-2564
Country : US
Telephone Number : 904-280-4312
Fax Number : 904-273-2983
Provider Business Practice Location Address
First Line : 3 TURTLEBACK TRL
Second Line :
City : PONTE VEDRA BEACH
State : FL
Zip : 32082-2564
Country : US
Telephone Number : 904-280-4312
Fax Number : 904-273-2983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2009
Last Update Date : 12/06/2017

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Directions to “ JODI MARGARET FIZER P.T.” Practice Location

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