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Organization
VJWDC, INC
Active
Organization
VJWDC, INC
Active
Other names
East Coast Elite Care
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BRNICH (ADMINISTRATOR)
(757) 771-0007
Entity
Organization
Contact information
Practice address
10550 DEERWOOD PARK BLVD STE 609B, JACKSONVILLE, FL 32256-2811
(904) 513-3954
Mailing address
PO BOX 935934, ATLANTA, GA 31193-5934
(941) 209-5410
(941) 209-5652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
11/13/2025
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