MEDICARE: APEX 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
1	261QP2000X	Physical Therapy Clinic/Center	HCC4617	FL

General Provider Information

NPI Number	:	1730275843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	4570 SAN JUAN AVE
Second Line	:	SUITE 3
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-2051
Country	:	US
Telephone Number	:	904-389-2077
Fax Number	:	904-389-1170

Provider Business Practice Location Address
First Line	:	4570 SAN JUAN AVE
Second Line	:	SUITE 3
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-2051
Country	:	US
Telephone Number	:	904-389-2077
Fax Number	:	904-389-1170

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MS. SHIRLEY A STRAUB
Credential	:
Telephone Number	:	904-389-2077

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	08/22/2020

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Directions to “APEX PHYSICAL THERAPY INC ” Practice Location

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