MEDICARE: COLIN ARTHUR MAY-PARKER 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	PT18659	FL

General Provider Information

NPI Number	:	1811562952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN ARTHUR MAY-PARKER PT

Provider Business Mailing Address
First Line	:	705 WELLS RD STE 300
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-2982
Country	:	US
Telephone Number	:	904-282-6331
Fax Number	:	904-619-1080

Provider Business Practice Location Address
First Line	:	8262 POINT MEADOWS DR STE 202
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-4700
Country	:	US
Telephone Number	:	904-282-6331
Fax Number	:	904-619-1080

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

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	12/18/2023

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