Organization
BODYWONDER, INC.
Active
Other names
BodyLogicMD of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO ANN HOLOKA MD (DIRECTOR)
(877) 341-8076
Entity
Organization
Contact information
Practice address
10161 CENTURION PKWY N, STE 160, JACKSONVILLE, FL 32256-0530
(877) 341-8076
Mailing address
10161 CENTURION PKWY N, STE 160, JACKSONVILLE, FL 32256-0530
(877) 341-8076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME108088
FL
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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