Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dynamic Physical Therapy of Jacksonville

Organization Physical Therapist · NPI 1770694788

Dynamic Physical Therapy of Jacksonville is a Physical Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

1717 Blanding Blvd Ste 104
Jacksonville, FL 32210
Phone: (904) 381-9205
Fax: (904) 381-9208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT10089 (FL)

Record details

NPI number1770694788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Onofre Miranda — President · (904) 381-9207
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1717 Blanding Blvd, Ste 104, Jacksonville, FL 32210

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