Individual ProviderSeth Michael StaffordPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 345-6812PECOS EnrollmentBased on the most recent information from CMS, provider Seth Michael Stafford does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1013741198Provider TypeIndividualFull NameStafford, Seth MichaelCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date8/29/2024Last Updated8/29/2024Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-6812Fax(904) 345-7663Mailing LocationMailing Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-6812Fax(904) 345-7663Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT42247Florida