# NORTHEAST FLORIDA WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riddle Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336900299
- **Authorized official:** NATHAN RIDDLE DC (OWNER)
- **Authorized official phone:** (904) 395-5598

## Contact information

- **Practice address:** 151 SAWGRASS CORNERS DR STE 201, PONTE VEDRA BEACH, FL 32082-3579
- **Practice address phone:** (904) 395-5598
- **Mailing address:** 151 SAWGRASS CORNERS DR STE 201, PONTE VEDRA BEACH, FL 32082-3579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/18/2024
- **Last updated:** 01/18/2024