Read Reflect & Repair Health And Wellness
Clinic/Center, Primary Care in Orange Park, FL. Organization (NPI-2).
NPI number1609528488
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1609528488
- Entity type
- Organization (NPI-2)
- Legal business name
- Read Reflect & Repair Health And Wellness
- Organization subpart
- No
- Enumeration date
- Jan 22, 2022
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
669 Kingsley AveOrange Park, FL 32073-5467
Phone 904-801-7899
Mailing address
4492 Steamboat Springs Dr EJacksonville, FL 32210-1406
Phone 904-482-8301
Authorized official
Jasmine Seara Hardaway
Ceo
9044828301
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