Brian John Mahalaris in Jacksonville - Physical Therapist

Brian John Mahalaris - NPI 1063555969

Brian John Mahalaris is a Physical Therapist in Jacksonville, Florida. Brian John Mahalaris practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brian John Mahalaris is 1063555969. The last update date is 2007-07-08.

Brian John Mahalaris's current location address is 11701 San Jose Blvd Ste 210, Jacksonville, Florida. You can contact this provider via phone number 9048587450 and fax number 9048587451. The mailing address for Brian John Mahalaris is 11701 San Jose Blvd Ste 210, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian John Mahalaris
Address 11701 San Jose Blvd Ste 210, Jacksonville, Florida
Phone Number 9048587450
Fax Number 9048587451
Sole Proprietor Y
Credentials PT

NPI Number Detail

NPI Number 1063555969
Provider Enumeration Date 2007-02-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11701 San Jose Blvd Ste 210
City Jacksonville
State Florida (FL)
Post Code 322230756
Phone Number 9048587450
Fax Number 9048587451

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT 20758
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
889766200 FL --

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FAQs about Brian John Mahalaris

What is the unique identification code assigned to Brian John Mahalaris by the Centers for Medicare & Medicaid Services?

The Brian John Mahalaris has been issued the NPI (National Provider Identifier) 1063555969. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Brian John Mahalaris's facilities are geographically located?

The facilities of Brian John Mahalaris are physically situated at the following location: 11701 San Jose Blvd Ste 210, Jacksonville, FL, 322230756.

What is Brian John Mahalaris's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Brian John Mahalaris is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063555969 to Brian John Mahalaris?

The Brian John Mahalaris received its 1063555969 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.

As of what date were the details pertaining to Brian John Mahalaris last refreshed?

The information related to the Brian John Mahalaris, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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