# SUMMIT INTEGRATIVE HEALTH, LLC

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

## Provider details

- **NPI number:** 1295202984
- **Authorized official:** DR. JUSTIN TINKER (OWNER)
- **Authorized official phone:** (404) 405-9168

## Contact information

- **Practice address:** 12627 SAN JOSE BLVD STE 305, JACKSONVILLE, FL 32223-8639
- **Practice address phone:** (904) 683-4376
- **Practice address fax:** (904) 683-4378
- **Mailing address:** 12627 SAN JOSE BLVD STE 305, JACKSONVILLE, FL 32223-8639
- **Mailing address phone:** (904) 683-4376
- **Mailing address fax:** (904) 683-4378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2018
- **Last updated:** 10/31/2018
