| Kristol Healing Center Inc | |
|
2427 University Blvd W Jacksonville FL 32217-2001 | |
| (904) 739-5808 | |
| (904) 739-2528 |
| Full Name | Kristol Healing Center Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2427 University Blvd W, Jacksonville, Florida |
| Authorized Official Name and Position | Bruce I Kristol (PSYCHOLOGIST / V. PRESIDENT) |
| Authorized Official Contact | 9047395808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristol Healing Center Inc 2427 University Blvd W Jacksonville FL 32217-2001 Ph: (904) 739-5808 | Kristol Healing Center Inc 2427 University Blvd W Jacksonville FL 32217-2001 Ph: (904) 739-5808 |
| NPI Number | 1184901951 |
|---|---|
| Provider Enumeration Date | 11/08/2011 |
| Last Update Date | 11/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184901951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2363 (Florida) | Primary |
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