Organization · Type 2 NPI

Olive Branch Way PLLC

Clinic/Center · Jacksonville, FL

NPI number 1972479137 Active

Practice location

245 Riverside Ave Ste 100
Jacksonville, FL 32202-4930

Call (904) 575-0628 Map

Fax (904) 506-1326

Mailing address

5501 Wesconnett Blvd Unit 14846
Jacksonville, FL 32238-7769

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1972479137

Olive Branch Way PLLC's National Provider Identifier is 1972479137, issued on Oct 15, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 15, 2025.