Provider Demographics
NPI:1427316082
Name:ISAAC, NEAL A (DPT)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:A
Last Name:ISAAC
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2085 A1A S STE 105
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32080-6505
Mailing Address - Country:US
Mailing Address - Phone:904-689-3336
Mailing Address - Fax:904-779-3213
Practice Address - Street 1:2085 A1A S STE 105
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32080-6505
Practice Address - Country:US
Practice Address - Phone:904-689-3336
Practice Address - Fax:904-779-3213
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27272225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist