Search › Florida › 225100000X
Jacob Broadhurst, PT, DPT
NPI 1164916839 · on the registry since 2018
Practice
- Address
- 3311 Beach Blvd
Jacksonville, FL 32207 - Phone
- (352) 246-7339
- Organisation at this address
- Therapy Source Llc
Therapy Source, Llc
New Heights Of Northeast Florida, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida