Healthcare Provider Details

I. General information

NPI: 1114166030
Provider Name (Legal Business Name): HEALTH POINTE JACKSONVILLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2009
Last Update Date: 03/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 BELFORT RD 305
JACKSONVILLE FL
32216-8207
US

IV. Provider business mailing address

3840 BELFORT RD 305
JACKSONVILLE FL
32216-8207
US

V. Phone/Fax

Practice location:
  • Phone: 904-448-0046
  • Fax: 904-448-0056
Mailing address:
  • Phone: 904-448-0046
  • Fax: 904-448-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberMA52646
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMA16887
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2591
License Number StateFL

VIII. Authorized Official

Name: DR. JULEE MILLER
Title or Position: OWNER
Credential: A.P., DOM, LMT
Phone: 904-448-0046