Organization · Type 2 NPI

Ketamine Wellness Centers Jacksonville

Pain Medicine (Anesthesiology) Physician · Jacksonville, FL

NPI number 1063016988 Active

Practice location

3753-2 Cardinal Point Dr
Jacksonville, FL 32257-5582

Call (855) 538-9355 Map

Fax (844) 538-9355

Mailing address

113 W Hoover Ave Ste 101
Mesa, AZ 85210-5214

Specialties and licenses

Taxonomy	Code	License
Pain Medicine (Anesthesiology) Physician Primary	207LP2900X	None listed

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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NPI record

NPI: 1063016988
Entity type: Organization (Type 2)
Issued: Nov 23, 2020
Last updated: Nov 23, 2020
Status: Active
Subpart: Yes of Ketamine Wellness Centers Arizona LLC

Other names

Ketamine Wellness Centers · doing business as

Authorized official

Ms. Anita Jerger
Executive Assistant
(855) 538-9355

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063016988

Ketamine Wellness Centers Jacksonville's National Provider Identifier is 1063016988, issued on Nov 23, 2020. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 23, 2020.