| Bomtempo Wellness Llc | |
|
636 3rd St S Ste 2 Jacksonville FL 32250-6626 | |
| (904) 776-6596 | |
| Not Available |
| Full Name | Bomtempo Wellness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 636 3rd St S Ste 2, Jacksonville, Florida |
| Authorized Official Name and Position | Jamie Lynn Korey Bomtempo (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 9048320667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bomtempo Wellness Llc 2135 Deer Run Trl Jacksonville FL 32246-1068 Ph: (904) 832-0667 | Bomtempo Wellness Llc 636 3rd St S Ste 2 Jacksonville FL 32250-6626 Ph: (904) 776-6596 |
| NPI Number | 1376278630 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376278630 | NPI | - | NPPES |
| OT17980 | Other | FL | MARKETPLACE INSURANCE PROGRAMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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