Organization
BLOG PLANET LLC
Active
Other names
Zion Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS BERGUS MD (CEOI)
(508) 769-2707
Entity
Organization
Contact information
Practice address
4131 UNIVERSITY BLVD S STE 10, JACKSONVILLE, FL 32216-4346
(508) 769-2707
(401) 305-3048
Mailing address
4131 UNIVERSITY BLVD S STE 10, JACKSONVILLE, FL 32216-4346
(508) 769-2707
(401) 305-3048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/05/2022
Last updated
08/28/2023
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