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General NPI Number Information
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NPI Number | 1205726239
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Entity Type | Organization
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Legal Business Name | NUVITA WELLNESS CENTER
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 7876 MOUNT RANIER DR
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City | JACKSONVILLE
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State | FL
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Zip | 32256-2998
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Country | US
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Telephone | 904-502-9806
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Fax |
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Provider Business Mailing Address
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Address Line | 7876 MOUNT RANIER DR
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City | JACKSONVILLE
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State | FL
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Zip | 32256-2998
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Country | US
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Telephone | 904-502-9806
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MEGAN MOFFATT
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Credential | PA-C
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Telephone | 904-502-9806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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