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Organization
NORTHEAST FLORIDA WELLNESS PLLC
Active
Organization
NORTHEAST FLORIDA WELLNESS PLLC
Active
Other names
Riddle Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN RIDDLE DC (OWNER)
(904) 395-5598
Entity
Organization
Contact information
Practice address
151 SAWGRASS CORNERS DR STE 201, PONTE VEDRA BEACH, FL 32082-3579
(904) 395-5598
Mailing address
151 SAWGRASS CORNERS DR STE 201, PONTE VEDRA BEACH, FL 32082-3579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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