Organization
CW OF JAX INC.
Active
Other names
Advanced Healthcare Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED C WILSON D.C. (PRESIDENT)
(904) 805-0099
Entity
Organization
Contact information
Practice address
6910 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8704
(904) 805-0099
Mailing address
6910 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8704
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH 7302
FL
207Q00000X
Family Medicine Physician
Primary
ME 76515
FL
Other
Enumeration date
06/18/2006
Last updated
09/11/2025
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