Organization
ASCENDING EMPORIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOANIVETTE RODRIGUEZ B.S. M.H. (DIRECTOR)
(904) 662-0657
Entity
Organization
Contact information
Practice address
4720 SALISBURY RD STE 109, JACKSONVILLE, FL 32256-6101
(904) 662-0657
Mailing address
4720 SALISBURY RD STE 109, JACKSONVILLE, FL 32256-6101
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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