| Jacksonville Wellness Center & Preventive Medicine Clinic | |
|
3604 University Blvd S Jacksonville FL 32216-4241 | |
| (904) 563-5838 | |
| (904) 425-7889 |
| Full Name | Jacksonville Wellness Center & Preventive Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 3604 University Blvd S, Jacksonville, Florida |
| Authorized Official Name and Position | Diana M Cordero (MEDICAL DOCTOR) |
| Authorized Official Contact | 9043887968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Wellness Center & Preventive Medicine Clinic 2317 Blanding Blvd Suite 2 Jacksonville FL 32210-4194 Ph: (904) 388-7968 | Jacksonville Wellness Center & Preventive Medicine Clinic 3604 University Blvd S Jacksonville FL 32216-4241 Ph: (904) 563-5838 |
| NPI Number | 1043636822 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043636822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME57227 (Florida) | Primary |
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