Provider Demographics
NPI:1073715330
Name:MEAUX, STUART JAMES (PT)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:JAMES
Last Name:MEAUX
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 US HIGHWAY 98 W
Mailing Address - Street 2:STE 220
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-7230
Mailing Address - Country:US
Mailing Address - Phone:850-622-5192
Mailing Address - Fax:
Practice Address - Street 1:4412 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2756
Practice Address - Country:US
Practice Address - Phone:850-430-4250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT5842225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist