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ST. JOHN'S INTEGRATED HEALTH INC. NPI 1033736574


NPI Information

NPI: 1033736574
Provider Name: ST. JOHN'S INTEGRATED HEALTH, INC.
Classification: Physical Medicine & Rehabilitation - 2081N0008X
Entity Type: Organization

Specialization: Neuromuscular Medicine

CLIA Number: 10D2239340

Address:
11363 SAN JOSE BLVD STE 102B
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 288-8993
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ST. JOHN'S INTEGRATED HEALTH, INC. is a neuromuscular medicine physical medicine rehabilitation in Jacksonville, FL. The provider is a physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. ST. JOHN'S INTEGRATED HEALTH, INC. NPI is 1033736574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11363 SAN JOSE BLVD STE 102B
JACKSONVILLE, FL
ZIP 32223-958
Phone: (904) 288-8993
Fax: (904) 288-8995

The provider's authorized official is William Stephen Foland .
The authorized official title is Owner and has the following contact phone number (904) 288-8993.

The CLIA number assigned to this NPI record is 10D2239340 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2020 and was last updated on 1/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081N0008XPhysical Medicine & RehabilitationNeuromuscular MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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