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NPI Code Detail

MEDICARE: TERRY KORINTH

MEDICARE: TERRY KORINTH
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 TherapistPTT38888FL

General Provider Information

NPI Number : 1912639246
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY KORINTH
Provider Business Mailing Address
First Line : 3901 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4312
Country : US
Telephone Number : 904-345-7251
Fax Number :
Provider Business Practice Location Address
First Line : 5539 ROOSEVELT BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-2345
Country : US
Telephone Number : 904-483-2272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2022
Last Update Date : 06/27/2022

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Directions to “ TERRY KORINTH ” Practice Location

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