| Nirvana Clinic Inc | |
|
9550-9 Baymeadows Road Jacksonville FL 32256 | |
| (904) 739-7398 | |
| (904) 739-3888 |
| Full Name | Nirvana Clinic Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9550-9 Baymeadows Road, Jacksonville, Florida |
| Authorized Official Name and Position | Wille E Andre (PRESIDENT CEO) |
| Authorized Official Contact | 9042969090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirvana Clinic Inc 6817 Southpoint Parkway Suite 604 Jacksonville FL 32216 Ph: (904) 296-9090 | Nirvana Clinic Inc 9550-9 Baymeadows Road Jacksonville FL 32256 Ph: (904) 739-7398 |
| NPI Number | 1205923174 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205923174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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