PROVIDIAN FUNCTIONAL CAPACITY SPECIALISTS

NPI # 

Practice Address:

716 N Orange Ave

Green Cove Springs, FL, 32043-2920

Practice Phone:

888-957-3337

Practice Fax:

904-284-4244

License Number:

AL1714

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Physical Therapy

Taxonomy Code:

261QP2000X