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NPI Code Detail

MEDICARE: VAKIL THERAPEUTIC SERVICES

MEDICARE: VAKIL THERAPEUTIC SERVICES
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
1225700000XMassage Therapist
2225X00000XOccupational Therapist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1063726123
Entity Type Code : Organization
Provider Name (Legal Business Name) : VAKIL THERAPEUTIC SERVICES
Provider Business Mailing Address
First Line : 12795 SAN JOSE BLVD
Second Line : SUITE 9
City : JACKSONVILLE
State : FL
Zip : 32223-2669
Country : US
Telephone Number : 904-619-1587
Fax Number :
Provider Business Practice Location Address
First Line : 12795 SAN JOSE BLVD
Second Line : SUITE 9
City : JACKSONVILLE
State : FL
Zip : 32223-2669
Country : US
Telephone Number : 904-619-1587
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. RICK FROMME
Credential :
Telephone Number : 904-619-1587
Provider Enumeration Date : 07/31/2010
Last Update Date : 09/11/2015

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Directions to “VAKIL THERAPEUTIC SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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