Nirvana Clinic Inc in Jacksonville - Multi-specialty
Nirvana Clinic Inc - NPI 1205923174
Nirvana Clinic Inc is a Multi-specialty in Jacksonville, Florida. Nirvana Clinic Inc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Nirvana Clinic Inc is 1205923174. The last update date is 2020-08-22.
Nirvana Clinic Inc's current location address is 9550-9 Baymeadows Road, Jacksonville, Florida. You can contact this provider via phone number 9047397398 and fax number 9047393888. The mailing address for Nirvana Clinic Inc is 9550-9 Baymeadows Road, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nirvana Clinic Inc |
|---|---|
| Address | 9550-9 Baymeadows Road, Jacksonville, Florida |
| Phone Number | 9047397398 |
| Fax Number | 9047393888 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Andre E Wille |
| Credentials | PA |
| Telephone Number | 9042969090 |
NPI Number Detail
| NPI Number | 1205923174 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9550-9 Baymeadows Road |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32256 |
| Phone Number | 9047397398 |
| Fax Number | 9047393888 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Nirvana Clinic Inc by the Centers for Medicare & Medicaid Services?
The Nirvana Clinic Inc has been assigned the NPI (National Provider Identifier) 1205923174. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nirvana Clinic Inc is physically located?
The Nirvana Clinic Inc is physically situated at the following address: 9550-9 Baymeadows Road, Jacksonville, FL, 32256.
What is the Nirvana Clinic Inc's specialty and taxonomy code?
The Nirvana Clinic Inc's specialty is Multi-specialty, and the corresponding taxonomy code is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205923174 to Nirvana Clinic Inc?
The Centers for Medicare & Medicaid Services originally issued the 1205923174 to Nirvana Clinic Inc on 2006-10-10.
As of what date were the details pertaining to Nirvana Clinic Inc last refreshed?
The information related to the Nirvana Clinic Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA