Summit Integrative Health, Llc | |
12627 San Jose Blvd Ste 305 Jacksonville FL 32223-8639 | |
(904) 683-4376 | |
(904) 683-4378 |
Full Name | Summit Integrative Health, Llc |
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Speciality | General Practice |
Location | 12627 San Jose Blvd Ste 305, Jacksonville, Florida |
Authorized Official Name and Position | Justin Tinker (OWNER) |
Authorized Official Contact | 4044059168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Integrative Health, Llc 12627 San Jose Blvd Ste 305 Jacksonville FL 32223-8639 Ph: (904) 683-4376 | Summit Integrative Health, Llc 12627 San Jose Blvd Ste 305 Jacksonville FL 32223-8639 Ph: (904) 683-4376 |
NPI Number | 1295202984 |
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Provider Enumeration Date | 10/31/2018 |
Last Update Date | 10/31/2018 |
Identifier | Type | State | Issuer |
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1295202984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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