Organization

Southbrdge Health And Wellness Llc

Adult Health Nurse Practitioner in Jacksonville, FL(View on Map)

Legal Business Name

Southbrdge Health And Wellness Llc

NPI Number

1043089998

NPI Type

Organization

Enumeration Date

12/20/2023

Specialties

(Taxonomies)

Code

363LA2200X
251B00000X
261Q00000X
251E00000X
261QI0500X
261QR1300X

Primary Taxonomy

Yes
No
No
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

851 SOUTHBRIDGE BLVD
476 RIVERSIDE AVE # 1905

City

Savannah
Jacksonville

State

GA
FL

Postal Code

31405-1096
32202-4912

Country

US
US

Telephone Number

(912) 657-5256
(904) 800-9220

Authorized Official

Name

Dora Agyemang

Title or Position

OWNER

Telephone Number

(912) 800-9220

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/20/2023

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