Organization
DIGNIFIED WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA UDONGWO NP (CLINICAL DIRECTOR)
(904) 553-1139
Entity
Organization
Contact information
Practice address
5851 TIMUQUANA RD STE 104, JACKSONVILLE, FL 32210-7890
(904) 553-1139
Mailing address
5851 TIMUQUANA RD STE 104, JACKSONVILLE, FL 32210-7890
(904) 553-1139
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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