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

Malcolm Wendell Buchannon, LPTA

Individual provider Physical Therapy Assistant · NPI 1326588930

Malcolm Wendell Buchannon, LPTA is a Physical Therapy Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

11565 Harts Rd
Jacksonville, FL 32218-3777
Phone: (904) 751-1834
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 27323 (FL)

Record details

NPI number1326588930
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedMarch 1, 2017
Last updated in NPPESMarch 13, 2017

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