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Organization
JACKSONVILLE HEALTH & WELLNESS CNTR.
Active
Organization
JACKSONVILLE HEALTH & WELLNESS CNTR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M REPOLE D.C. (OWNER AND PRACTIONER)
(904) 268-6568
Entity
Organization
Contact information
Practice address
10950 SAN JOSE BLVD STE 14, JACKSONVILLE, FL 32223-6671
(904) 268-6568
(904) 886-9804
Mailing address
10950 SAN JOSE BLVD STE 14, JACKSONVILLE, FL 32223-6671
(904) 268-6568
(904) 886-9804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9315
MEDICARE GROUP
FL
Enumeration date
11/14/2007
Last updated
11/14/2007
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