Organization
RHEUMATOLOGY WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JIMENEZ CIFUENTES (MANAGER)
(954) 790-9448
Entity
Organization
Contact information
Practice address
3149 N PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL 32084-8626
(904) 594-2424
(904) 594-2425
Mailing address
3149 N PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL 32084-8626
(904) 594-2424
(904) 594-2425
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
06/14/2024
Last updated
07/03/2024
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