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NPI Code Detail

MEDICARE: ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INC

MEDICARE: ATLAS PHYSICAL THERAPY & SPORTS MEDICINE 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
1225100000XPhysical TherapistPT8402FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17865018OTHERAETNA
21699778001OTHERCIGNA

General Provider Information

NPI Number : 1508859893
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INC
Provider Business Mailing Address
First Line : 12421 SAN JOSE BLVD
Second Line : STE 100
City : JACKSONVILLE
State : FL
Zip : 32223-2680
Country : US
Telephone Number : 904-292-0195
Fax Number : 904-292-0566
Provider Business Practice Location Address
First Line : 12421 SAN JOSE BLVD
Second Line : STE 100
City : JACKSONVILLE
State : FL
Zip : 32223-2680
Country : US
Telephone Number : 904-292-0195
Fax Number : 904-292-0566
Authorized Official
Title or Position : OWNER
Name : MR. ADAM M SCHOENBERG
Credential : PT ATC
Telephone Number : 904-292-0195
Provider Enumeration Date : 08/23/2005
Last Update Date : 10/05/2020

Similar Medicare Providers

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Practice Location Address:
12421 SAN JOSE BLVD STE 100A
JACKSONVILLE, FL
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1154367514 — MS. LISA A SENICH DPT
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12421 SAN JOSE BLVD , SUITE 100
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1497781132 — MRS. JEANETTE MICELOTTA PT
Practice Location Address:
12421 SAN JOSE BLVD , SUITE 100
JACKSONVILLE, FL
32223-2680
Practice Phone: 904-292-0195
Practice Fax: 904-292-0566
1588691034 — MR. LEONYD CALDERON MPT ATC/L
Practice Location Address:
12421 SAN JOSE BLVD , SUITE 100
JACKSONVILLE, FL
32223-2680
Practice Phone: 904-292-0195
Practice Fax: 904-292-0566
1295762763 — MR. RONALD C BERGER JR. PT
Practice Location Address:
12421 SAN JOSE BLVD , SUITE 100
JACKSONVILLE, FL
32223-2680
Practice Phone: 904-292-0195
Practice Fax: 904-292-0566
1982631461 — MR. ADAM M SCHOENBERG MPT ATC
Practice Location Address:
12421 SAN JOSE BLVD , SUITE 100
JACKSONVILLE, FL
32223-2680
Practice Phone: 904-292-0195
Practice Fax: 904-292-0566

Directions to “ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INC ” Practice Location

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