Baymeadows Injury & Wellness Llc | |
10915 Baymeadows Rd, Unit 104, Jacksonville, FL 32256-9130 | |
(555) 555-5555 | |
Not Available |
Full Name | Baymeadows Injury & Wellness Llc |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 10915 Baymeadows Rd, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528519287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 10815 (Florida) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Provider Name | Pallavi R Cherukupally |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1144273723 PECOS PAC ID: 7315910023 Enrollment ID: I20191008000522 |
Provider Name | Rebecca E Morris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346633393 PECOS PAC ID: 9335449107 Enrollment ID: I20200205002177 |
Provider Name | Bryce D Arndt |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669641452 PECOS PAC ID: 8123166444 Enrollment ID: I20200616002141 |
Provider Name | Melanie Np Bautista |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831739887 PECOS PAC ID: 6608287958 Enrollment ID: I20201118001295 |
Provider Name | Mackenzie Sutherlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780273805 PECOS PAC ID: 4587058375 Enrollment ID: I20220221001016 |
Mailing Address | Practice Location Address |
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Baymeadows Injury & Wellness Llc 10915 Baymeadows Rd, Unit 104, Jacksonville, FL 32256-9130 Ph: () - | Baymeadows Injury & Wellness Llc 10915 Baymeadows Rd, Unit 104, Jacksonville, FL 32256-9130 Ph: (555) 555-5555 |