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NPI Code Detail

MEDICARE: SMART BODY PHYSICAL THERAPY INC

MEDICARE: SMART BODY PHYSICAL THERAPY INC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1255508008
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMART BODY PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 10950 60 SAN JOSE BLVD196
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-7358
Country : US
Telephone Number : 904-296-4140
Fax Number : 904-279-0963
Provider Business Practice Location Address
First Line : 12421 SAN JOSE BLVD STE 100A
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-2680
Country : US
Telephone Number : 904-296-4140
Fax Number : 904-279-0963
Authorized Official
Title or Position : PRESIDENT
Name : LAURA BUNSO
Credential :
Telephone Number : 904-382-3804
Provider Enumeration Date : 05/12/2008
Last Update Date : 06/02/2026

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Directions to “SMART BODY PHYSICAL THERAPY INC ” Practice Location

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