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NPI Code Detail

MEDICARE: INJURY AND WELLNESS CENTERS LLC

MEDICARE: INJURY AND WELLNESS CENTERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1202D00000XIntegrative Medicine Physician

General Provider Information

NPI Number : 1700507902
Entity Type Code : Organization
Provider Name (Legal Business Name) : INJURY AND WELLNESS CENTERS LLC
Provider Business Mailing Address
First Line : 6501 CYPRESS CROSSING CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32259-7043
Country : US
Telephone Number : 419-560-0834
Fax Number :
Provider Business Practice Location Address
First Line : 8262 POINT MEADOWS DR STE 102
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-4700
Country : US
Telephone Number : 904-683-6924
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BRYCE ARNDT
Credential : DC
Telephone Number : 419-560-0834
Provider Enumeration Date : 09/06/2022
Last Update Date : 09/06/2022

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Directions to “INJURY AND WELLNESS CENTERS LLC ” Practice Location

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