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KETAMINE WELLNESS CENTERS JACKSONVILLE NPI 1063016988


NPI Information

NPI: 1063016988
Provider Name: KETAMINE WELLNESS CENTERS JACKSONVILLE
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
3753-2 CARDINAL POINT DR
JACKSONVILLE, FL
ZIP 32257
Phone: (855) 538-9355
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KETAMINE WELLNESS CENTERS JACKSONVILLE is a pain medicine anesthesiology in Jacksonville, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. KETAMINE WELLNESS CENTERS JACKSONVILLE NPI is 1063016988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3753-2 CARDINAL POINT DR
JACKSONVILLE, FL
ZIP 32257-582
Phone: (855) 538-9355
Fax: (844) 538-9355

The provider's authorized official is Anita Jerger .
The authorized official title is Executive Assistant and has the following contact phone number (855) 538-9355.

The enumeration date for this NPI number is 11/23/2020 and was last updated on 11/23/2020.


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
1207LP2900XAnesthesiologyPain 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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