Organization
TOWER9VITALITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI CHALHOUB MD (OWNER)
(904) 304-7404
Entity
Organization
Contact information
Practice address
5200 BELFORT RD STE 420, JACKSONVILLE, FL 32256-6040
(626) 627-2244
Mailing address
5200 BELFORT RD STE 420, JACKSONVILLE, FL 32256-6040
(626) 627-2244
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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