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DUNN AVENUE HEALTH AND WELLNESS CENTER INC NPI 1528396058


NPI Information

NPI: 1528396058
Provider Name: DUNN AVENUE HEALTH AND WELLNESS CENTER INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3450 DUNN AVE
STE. 302
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 329-1904
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DUNN AVENUE HEALTH AND WELLNESS CENTER INC is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DUNN AVENUE HEALTH AND WELLNESS CENTER INC NPI is 1528396058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3450 DUNN AVE
STE. 302
JACKSONVILLE, FL
ZIP 32218-426
Phone: (904) 329-1904
Fax: (904) 329-1905

The provider's authorized official is Edward Williams .
The authorized official title is Physician/owner and has the following contact phone number (904) 329-1904.

The enumeration date for this NPI number is 11/20/2009 and was last updated on 6/10/2010.


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
1207Q00000XFamily MedicineOS 6019FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E68470MEDICARE UPIN
245366300MEDICAIDFLORIDA
380135MEDICARE PINFLORIDA

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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