# BODYWERKS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790467124
- **Authorized official:** NICOLE HILL APRN (MGR)
- **Authorized official phone:** (904) 600-4405

## Contact information

- **Practice address:** 1409 KINGSLEY AVE STE 8, ORANGE PARK, FL 32073-4553
- **Practice address phone:** (904) 600-4405
- **Mailing address:** 1626 NORTHGLEN CIR, MIDDLEBURG, FL 32068-6580
- **Mailing address phone:** (904) 600-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2023
- **Last updated:** 08/04/2023