Healthcare Provider Details

I. General information

NPI: 1700707288
Provider Name (Legal Business Name): THERAMED MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542184 US HIGHWAY 1 STE 3B
CALLAHAN FL
32011-8109
US

IV. Provider business mailing address

PO BOX 11359
JACKSONVILLE FL
32239-1359
US

V. Phone/Fax

Practice location:
  • Phone: 904-628-0845
  • Fax: 904-764-3211
Mailing address:
  • Phone: 904-764-3434
  • Fax: 904-764-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE L ALBERT
Title or Position: OWNER/PROVIDER
Credential: DC
Phone: 904-764-3434