OMEGA HEALTH & WELLNESS NPI 1063895753

NPI Information

NPI: 1063895753
Provider Name: OMEGA HEALTH & WELLNESS
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 10D2009914

Address:
3101 UNIVERSITY BLVD S
SUITE 203
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 374-6498
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OMEGA HEALTH & WELLNESS is a pain clinic center in Jacksonville, FL. OMEGA HEALTH & WELLNESS NPI is 1063895753. The provider is registered as an organization entity type.

The provider's business location address is:

3101 UNIVERSITY BLVD S
SUITE 203
JACKSONVILLE, FL
ZIP 32216-790
Phone: (904) 374-6498
Fax: (904) 724-5770

The provider's authorized official is James Coker .
The authorized official title is Administrator and has the following contact phone number (904) 374-6498.

The CLIA number assigned to this NPI record is 10D2009914 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 6/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	261QP3300X	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B57981	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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