Iwae, Shiro

Iwae, Shiro is an sole proprietor health care provider with primary practice located at 1401 Penman Rd Suite C, Jacksonville Beach FL 32250. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Iwae, Shiro can be contacted via phone (904) 241-9500.

Contact Information

Primary practice address
1401 Penman Rd Suite C Jacksonville Beach FL 32250
Phone: (904) 241-9500
Fax: (904) 241-2009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT10623 Florida

Profile Details

NPI number 1407031750
LBN Legal business name Iwae, Shiro
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2008
Last updated Jan 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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