Individual ProviderSteven Alexander WalczakPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 345-7600(904) 345-7336PECOS EnrollmentBased on the most recent information from CMS, provider Steven Alexander Walczak 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 ID1891217121Provider TypeIndividualFull NameWalczak, Steven AlexanderTitleDr.CredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date7/7/2017Last Updated7/7/2017Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-7600FaxUnlisted FaxMailing LocationMailing Address3901 University Blvd S, Jacksonville, FL 32216-4312Phone(904) 345-7336FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT32684Florida