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Organization
JACKSONVILLE INTEGRATIVE HEALTH LLC
Active
Organization
JACKSONVILLE INTEGRATIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL BUSQUETS (OWNER)
(904) 621-4222
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 2501, JACKSONVILLE, FL 32258-5218
(904) 299-6000
(904) 299-6001
Mailing address
13241 BARTRAM PARK BLVD UNIT 2501, JACKSONVILLE, FL 32258-5218
(904) 621-4222
(904) 299-6001
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/22/2020
Last updated
09/30/2021
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