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Organization
SUNBELT WELLNESS INSTITUTE, LLC
Active
Organization
SUNBELT WELLNESS INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS M KALYNYCH CRNA, APRN (CEO MANAGING PARTNER)
(904) 328-6749
Entity
Organization
Contact information
Practice address
8833 PERIMETER PARK BLVD STE 1004, JACKSONVILLE, FL 32216-1114
(904) 328-6749
(904) 503-1960
Mailing address
8833 PERIMETER PARK BLVD STE 1004, JACKSONVILLE, FL 32216-1114
(904) 328-6749
(904) 503-1960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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