JACOB LUCAS BROADHURST

JACKSONVILLE, FL
NPI1164916839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  30341)
Enumeration Date2018-06-18
Last Update Date2018-06-18
Business Address
JACOB LUCAS BROADHURST PT, DPT
3311 BEACH BLVD
JACKSONVILLE, FL 32207-3704
Phone number: 352-246-7339
Mailing Address
JACOB LUCAS BROADHURST PT, DPT
8842 NATURE VIEW LN W
JACKSONVILLE, FL 32217-9327
Phone number: 352-246-7339
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