Healthcare Provider Details

I. General information

NPI: 1144145715
Provider Name (Legal Business Name): ADVANCED INJURY CARE CENTER JACKSONVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 UNIVERSITY BLVD S STE 204
JACKSONVILLE FL
32216-4226
US

IV. Provider business mailing address

3550 UNIVERSITY BLVD S STE 204
JACKSONVILLE FL
32216-4226
US

V. Phone/Fax

Practice location:
  • Phone: 904-792-3565
  • Fax:
Mailing address:
  • Phone: 904-792-3565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: AHMED BELEIH
Title or Position: PRESIDENT
Credential:
Phone: 646-508-5275