Organization · Type 2 NPI
Jackson Reef
Health Service Clinic/Center · Ormond Beach, FL
NPI number
1396398608
Active
Practice location
495 S Nova Rd Ste 101A
Ormond Beach, FL 32174-8444
Fax (855) 829-5770
Other practice locations
- 851 Dunlawton Ave Ste 103, Port Orange, FL 32127-4234 · (386) 487-4673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
Other health service clinic/center providers in Ormond Beach
About NPI 1396398608
Jackson Reef's National Provider Identifier is 1396398608, issued on Jul 17, 2019. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Ormond Beach, FL. The record was last updated on Aug 7, 2020.