Organization
KRISTOL HEALING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE I KRISTOL PH.D. (PSYCHOLOGIST / V. PRESIDENT)
(904) 739-5808
Entity
Organization
Contact information
Practice address
2427 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2001
(904) 739-5808
(904) 739-2528
Mailing address
2427 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2001
(904) 739-5808
(904) 739-2528
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2363
FL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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