# JACKSONVILLE INTEGRATIVE HEALTH LLC

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

## Provider details

- **NPI number:** 1861089062
- **Authorized official:** GABRIEL BUSQUETS (OWNER)
- **Authorized official phone:** (904) 621-4222

## Contact information

- **Practice address:** 13241 BARTRAM PARK BLVD UNIT 2501, JACKSONVILLE, FL 32258-5218
- **Practice address phone:** (904) 299-6000
- **Practice address fax:** (904) 299-6001
- **Mailing address:** 13241 BARTRAM PARK BLVD UNIT 2501, JACKSONVILLE, FL 32258-5218
- **Mailing address phone:** (904) 621-4222
- **Mailing address fax:** (904) 299-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 12/22/2020
- **Last updated:** 09/30/2021