# JACKSONVILLE WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Acupuncture Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619371390
- **Authorized official:** XIAOLU LUO AP., DOM (OWNER)
- **Authorized official phone:** (904) 880-1889

## Contact information

- **Practice address:** 10175 FORTUNE PKWY, UNIT 304, JACKSONVILLE, FL 32256-6746
- **Practice address phone:** (904) 880-1889
- **Practice address fax:** (904) 239-3028
- **Mailing address:** 10175 FORTUNE PKWY, UNIT 304, JACKSONVILLE, FL 32256-6746
- **Mailing address phone:** (904) 880-1889
- **Mailing address fax:** (904) 239-3028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP1343 | FL | Yes |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 10/09/2014