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Mr. Jean T. Proulx
Prosthetic/Orthotic Supplier in Jacksonville, Florida
NPI 1053679365

Jean T. Proulx is a Prosthetic/Orthotic Supplier based in Jacksonville, FL. Jean T. Proulx practices in Jacksonville, FL. The NPI Number for Jean T. Proulx is 1053679365 and holds a License No. (Florida).

The current practice location address for Jean T. Proulx is 3132 Beach Boulevard, Jacksonville, FL and can be reached out via phone at 904-398-7118. You can also correspond with Jean T. Proulx through the mailing address at 3132 BEACH BOULEVARD, JACKSONVILLE, FL - 32207-3710 (mailing address contact number: 904-398-7118).

Location: 3132 Beach Boulevard, Jacksonville, FL, 32207-3710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053679365
Provider Name
Jean T. Proulx
Credential
Provider Entity Type
Individual
Gender
Male
Address
3132 Beach Boulevard, Jacksonville, FL, 32207-3710
Phone Number
904-398-7118
Fax Number
Provider Enumeration Date
04/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3132 Beach Boulevard
City
Jacksonville
State
Florida
Zip
32207-3710
Phone Number
904-398-7118
Fax Number
person
Provider Business Mailing Address Details
Address
3132 Beach Boulevard
City
Jacksonville
State
Florida
Zip
32207-3710
Phone Number
904-398-7118
Fax Number
904-398-7114
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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