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JACKSONVILLE INTERNAL MEDICINE AND WELLNESS LLC NPI 1679011969


NPI Information

NPI: 1679011969
Provider Name: JACKSONVILLE INTERNAL MEDICINE AND WELLNESS, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 01D2128001

Address:
1323 HAMRIC DR E STE A
OXFORD, AL
ZIP 36203
Phone: (256) 365-2416
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JACKSONVILLE INTERNAL MEDICINE AND WELLNESS, LLC is an internal medicine in Oxford, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JACKSONVILLE INTERNAL MEDICINE AND WELLNESS, LLC NPI is 1679011969. The provider is registered as an organization entity type.

The provider's business location address is:

1323 HAMRIC DR E STE A
OXFORD, AL
ZIP 36203-917
Phone: (256) 365-2416
Fax: (256) 365-2426

The provider's authorized official is Eduardo J Villeda .
The authorized official title is Owner and has the following contact phone number (917) 684-7325.

The CLIA number assigned to this NPI record is 01D2128001 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2017 and was last updated on 11/1/2023.


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
1207R00000XInternal 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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