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General NPI Number Information
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NPI Number | 1154160836
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Entity Type | Organization
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Legal Business Name | B.WELL PHYSICAL THERAPY & WELLNESS P.A.
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 5000 KERNAN BLVD S APT 819
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City | JACKSONVILLE
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State | FL
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Zip | 32224-0696
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Country | US
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Telephone | 336-813-2396
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Fax |
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Provider Business Mailing Address
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Address Line | 12620 BEACH BLVD SUITE 3 - 405
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City | JACKSONVILLE
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State | FL
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Zip | 32246
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Country | US
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Telephone | 904-796-8499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRYAN BROZY
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Credential | DPT
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Telephone | 904-796-8499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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