Organization
SALTWATER HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN ROBERSON ARNP (PRESIDENT)
(386) 405-2823
Entity
Organization
Contact information
Practice address
260 WILLIAMSON BLVD # 731498, ORMOND BEACH, FL 32174-8257
(386) 319-2378
Mailing address
260 WILLIAMSON BLVD # 731498, ORMOND BEACH, FL 32174-8257
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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