CLEANSLATE MEDICAL GROUP OF FLORIDA, PLLC is an addiction medicine internal medicine in Jacksonville, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CLEANSLATE MEDICAL GROUP OF FLORIDA, PLLC NPI is 1225577760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1128 N LAURA ST
JACKSONVILLE, FL
ZIP 32206-912
Phone: (904) 425-0400
The provider's authorized official is Robert Hutchison .
The authorized official title is Cfo and has the following contact phone number (413) 584-2173.
The CLIA number assigned to this NPI record is 22D2089138 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/16/2017 and was last updated on 7/2/2019.