OrganizationCenter Imt Jacksonville Fl, P.A.(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1840 Southside Blvd, Building 2, Jacksonville, FL 32216-0317(904) 726-0805PECOS EnrollmentBased on the most recent information from CMS, provider Center Imt Jacksonville Fl, P.A. 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 5 days ago.Profile DetailsProvider ID1063465540Provider TypeOrganizationFull NameCenter Imt Jacksonville Fl, P.A.Other Name<Unavail>SubpartNoEnumeration Date5/18/2006Last Updated5/8/2008Contact InformationPractice LocationPractice Address1840 Southside Blvd, Building 2, Jacksonville, FL 32216-0317Phone(904) 726-0805Fax(904) 726-0828Mailing LocationMailing Address1840 Southside Blvd, Building 2, Jacksonville, FL 32216-0317Phone(904) 726-0805Fax(904) 726-0828Authorized OfficialNameHamnann, Lori (Physical Therapist)Phone(904) 726-0805Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer