MEDICARE: STUART JAMES MEAUX PT

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
1	225100000X	Physical Therapist	PT5842	FL

General Provider Information

NPI Number	:	1073715330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART JAMES MEAUX PT

Provider Business Mailing Address
First Line	:	7720 US HIGHWAY 98 W
Second Line	:	STE 220
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-7230
Country	:	US
Telephone Number	:	850-622-5192
Fax Number	:

Provider Business Practice Location Address
First Line	:	4412 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2756
Country	:	US
Telephone Number	:	850-430-4250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	06/11/2013

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Directions to “ STUART JAMES MEAUX PT” Practice Location

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