Healthcare Provider Details

I. General information

NPI: 1699644674
Provider Name (Legal Business Name): ASP THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1157 BEACH BLVD
JACKSONVILLE BEACH FL
32250-3445
US

IV. Provider business mailing address

14286 BEACH BLVD STE 19-222
JACKSONVILLE FL
32250-1561
US

V. Phone/Fax

Practice location:
  • Phone: 904-450-5061
  • Fax:
Mailing address:
  • Phone: 904-450-5061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER JEAN QUARTANO
Title or Position: OWNER
Credential:
Phone: 904-318-8041