Organization
NIRVANA CLINIC INC
Active
Other names
Nirvana Wellness Solutions Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLE E ANDRE PA (PRESIDENT CEO)
(904) 296-9090
Entity
Organization
Contact information
Practice address
9550-9 BAYMEADOWS ROAD, JACKSONVILLE, FL 32256
(904) 739-7398
(904) 739-3888
Mailing address
6817 SOUTHPOINT PARKWAY SUITE 604, JACKSONVILLE, FL 32216
(904) 296-9090
(904) 296-9050
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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