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Contact Information

ANDREW J GODEK, ATC, PT
1348 SOUTH 18TH STREET
BAPTIST REHAB
FERNANDINA BEACH, FL32034
 Phone: 904-321-3850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ANDREW J GODEK · (Male)

NPI Number 1689635732
Status Active
Credentials ATC, PT
Entity Individual
Enumeration date 03/29/2006
Last updated 02/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # AL2080
  • FL License # PT26195
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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