# FAITH WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053065540
- **Authorized official:** MS. CHANTINA DAVIS PHYSICIAN ASSISTANT (OWNER)
- **Authorized official phone:** (904) 621-0748

## Contact information

- **Practice address:** 5298 SUNBEAM RD STE 8, JACKSONVILLE, FL 32257-6292
- **Practice address phone:** (904) 621-0748
- **Practice address fax:** (904) 212-5810
- **Mailing address:** 13836 GABRIEL CT, JACKSONVILLE, FL 32224-7213
- **Mailing address phone:** (904) 333-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2022
- **Last updated:** 02/04/2022