VIBRANT LIFE HEALTH CENTER LLC NPI 1992110654

NPI Information

VIBRANT LIFE HEALTH CENTER LLC is a point of service in Jacksonville, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. VIBRANT LIFE HEALTH CENTER LLC NPI is 1992110654. The provider is registered as an organization entity type.

The provider's business location address is:

12627 SAN JOSE BLVD
SUITE 501
JACKSONVILLE, FL
ZIP 32223-662
Phone: (904) 682-8177
Fax: (904) 738-7483

The provider's authorized official is Jon Claude Thomas .
The authorized official title is Doctor/owner and has the following contact phone number (904) 683-8177.

The enumeration date for this NPI number is 6/21/2014 and was last updated on 6/21/2014.

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:

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