Organization
NORTHEAST FLORIDA WELLNESS PLLC
Active
Other names
Riddle Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN RIDDLE DC (OWNER)
(904) 395-5598
Entity
Organization
Contact information
Practice address
151 SAWGRASS CORNERS DR STE 201, PONTE VEDRA BEACH, FL 32082-3579
(904) 395-5598
Mailing address
151 SAWGRASS CORNERS DR STE 201, PONTE VEDRA BEACH, FL 32082-3579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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