JUSTIN CARMEL (NPI# 1972985075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972985075 |
Entity Type | Individual |
Full Name | JUSTIN CARMEL |
Credential | D.P.T. |
Practice Address |
12961 N Main St Suite 201 & 202 Jacksonville FL 32218-2769 |
Mailing Address |
13 Alcira Ct St Augustine FL 32086-7620 |
Practice Telephone | 9047572474 |
Practice Fax Number | 9047575541 |
Mailing Telephone | 5132531969 |
Enumeration Date | 2015-06-24 |
Last Update Date | 2015-06-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
230520373 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
30402 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
12961 N MAIN ST SUITE 201 & 202 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32218-2769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922003342 | Kimberly Ann Segler | Occupational Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2005-06-14 |
1952760225 | Nicolette Kelley | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2016-02-16 |
1669857959 | Kurtis P Mullaney | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2015-07-28 |
1568706406 | Meghan E Kettles | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2012-11-15 |
1649504804 | River City Vision Center Pa | Optometrist | 12961 N Main St, Suite 203, Jacksonville, FL 32218-2769 | 2009-09-21 |
1154581379 | Jacksonville Orthopaedic Institute Inc | Specialist/Technologist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2008-06-11 |
1720179997 | Chandra M Williams | Optometrist | 12961 N Main St, Suite 203, Jacksonville, FL 32218-2769 | 2006-09-27 |
1720198435 | Peter A Conrique | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
Find all providers in zip 32218 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619215761 | Theresa Anne Meyers | Physical Therapist | 11366 Emilys Crossing Ct, Jacksonville, FL 32257-1530 | 2013-01-24 |
1609901800 | Santiago Villamil | Physical Therapist | 10908 Mindanao Dr S, Jacksonville, FL 32246-9552 | 2007-02-21 |
1518038322 | Franklin Simpson Fisher | Physical Therapist | 2200 G Gum Branch Rd, Jacksonville, NC 28540-6009 | 2006-11-13 |
1457834038 | Dominique Tull | Physical Therapist | 9100 Merrill Rd Ste 10, Jacksonville, FL 32225-4349 | 2018-09-10 |
1063992030 | Kayla Sisson | Physical Therapist | 6639 Southpoint Pkwy Ste 103, Jacksonville, FL 32216-8042 | 2018-08-18 |
1558808816 | Sara B Sohn | Physical Therapist | 6639 Southpoint Pkwy Ste 103, Jacksonville, FL 32216-8042 | 2017-01-25 |
1225404270 | Jessica Zbikowski | Physical Therapist | 6500 Fort Caroline Rd, Suite C, Jacksonville, FL 32277-2084 | 2015-08-13 |
1255714960 | Marie Bogh | Physical Therapist | 3901 University Blvd S, Jacksonville, FL 32216-4312 | 2015-06-30 |
1275912792 | Brittany Ann Laxton | Physical Therapist | 9527 Regency Square Blvd, Unit 105, Jacksonville, FL 32225-8806 | 2015-05-29 |
1245617315 | Eliza Lynn Rivera | Physical Therapist | 4555 Emerson St, Suite # 220, Jacksonville, FL 32207-4966 | 2015-04-28 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32218 |
Please comment or provide details below to improve the information on JUSTIN CARMEL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.