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JACKSONVILLE WELLNESS CENTER NPI 1619371390


NPI Information

NPI: 1619371390
Provider Name: JACKSONVILLE WELLNESS CENTER

Doing Business As: FAMILY ACUPUNCTURE CLINIC

Classification: Acupuncturist - 171100000X
Entity Type: Organization

CLIA Number: 10D1007804

Address:
10175 FORTUNE PKWY
UNIT 304
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 880-1889
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JACKSONVILLE WELLNESS CENTER is an acupuncturist in Jacksonville, FL. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. JACKSONVILLE WELLNESS CENTER NPI is 1619371390. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Acupuncture Clinic.

The provider's business location address is:

10175 FORTUNE PKWY
UNIT 304
JACKSONVILLE, FL
ZIP 32256-746
Phone: (904) 880-1889
Fax: (904) 239-3028

The provider's authorized official is Xiaolu Luo .
The authorized official title is Owner and has the following contact phone number (904) 880-1889.

The CLIA number assigned to this NPI record is 10D1007804 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2014 and was last updated on 10/9/2014.


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
1171100000XAcupuncturistAP1343FLORIDAYes

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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