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Organization

FAITH WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHANTINA DAVIS PHYSICIAN ASSISTANT (OWNER)
(904) 621-0748
Entity
Organization

Contact information

Practice address
5298 SUNBEAM RD STE 8, JACKSONVILLE, FL 32257-6292
(904) 621-0748
(904) 212-5810
Mailing address
13836 GABRIEL CT, JACKSONVILLE, FL 32224-7213
(904) 333-5980

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/04/2022
Last updated
02/04/2022
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