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AMRON VITALITY AND WELLNESS CENTER LLC NPI 1619527157


NPI Information

NPI: 1619527157
Provider Name: AMRON VITALITY AND WELLNESS CENTER, LLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
6339 ARGYLE FOREST BLVD STE 3
JACKSONVILLE, FL
ZIP 32244
Phone: (904) 802-7048
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AMRON VITALITY AND WELLNESS CENTER, LLC 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. AMRON VITALITY AND WELLNESS CENTER, LLC NPI is 1619527157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6339 ARGYLE FOREST BLVD STE 3
JACKSONVILLE, FL
ZIP 32244-601
Phone: (904) 802-7048
Fax: (904) 802-7068

The provider's authorized official is Diana M Cordero .
The authorized official title is Owner and has the following contact phone number (904) 802-7048.

The enumeration date for this NPI number is 9/17/2019 and was last updated on 9/17/2019.


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
1207RA0401XInternal MedicineAddiction MedicineYes

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
110185BOTHERFLORIDABCBS PROVIDER

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: 11/14/2023

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