JACKSONVILLE HEALTH & WELLNESS CNTR. NPI 1639350010

NPI Information

JACKSONVILLE HEALTH & WELLNESS CNTR. is a chiropractor in Jacksonville, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JACKSONVILLE HEALTH & WELLNESS CNTR. NPI is 1639350010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10950 SAN JOSE BLVD STE 14
JACKSONVILLE, FL
ZIP 32223-671
Phone: (904) 268-6568
Fax: (904) 886-9804

The provider's authorized official is Jon M Repole .
The authorized official title is Owner And Practioner and has the following contact phone number (904) 268-6568.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.

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:

Other Identifiers

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

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