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Organization
JACKSONVILLE WELLNESS CENTER & PREVENTIVE MEDICINE CLINIC
Active
Organization
JACKSONVILLE WELLNESS CENTER & PREVENTIVE MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA M CORDERO M.D. (MEDICAL DOCTOR)
(904) 388-7968
Entity
Organization
Contact information
Practice address
3604 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4241
(904) 563-5838
(904) 425-7889
Mailing address
2317 BLANDING BLVD, SUITE 2, JACKSONVILLE, FL 32210-4194
(904) 388-7968
(904) 425-7889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME57227
FL
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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