Organization
OAKLEAF INJURY AND PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE WAKULA (OFFICE MANAGER)
(772) 263-1642
Entity
Organization
Contact information
Practice address
9526 ARGYLE FOREST BLVD, B-6, JACKSONVILLE, FL 32222-2825
(772) 546-9591
Mailing address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 263-1642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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