Superior Health & Wellness | |
7855 Argyle Forest Blvd Ste 703 Jacksonville FL 32244-7705 | |
(904) 257-6882 | |
(904) 872-8523 |
Full Name | Superior Health & Wellness |
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Speciality | Nurse Practitioner |
Location | 7855 Argyle Forest Blvd Ste 703, Jacksonville, Florida |
Authorized Official Name and Position | Nikita Richardson (OWNER/PROVIDER MANAGER) |
Authorized Official Contact | 9042576882 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Superior Health & Wellness Po Box 37885 Jacksonville FL 32236-7885 Ph: (904) 257-6882 | Superior Health & Wellness 7855 Argyle Forest Blvd Ste 703 Jacksonville FL 32244-7705 Ph: (904) 257-6882 |
NPI Number | 1801490131 |
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Provider Enumeration Date | 11/27/2020 |
Last Update Date | 05/22/2023 |
Medicare PECOS PAC ID | 2567879281 |
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Medicare Enrollment ID | O20210325000658 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801490131 | NPI | - | NPPES |
Provider Name | Nikita Mcmiller Richardson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992177349 PECOS PAC ID: 6608176185 Enrollment ID: I20151207000847 |
Provider Name | Nigeria Mchellon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174044267 PECOS PAC ID: 2466854146 Enrollment ID: I20210719000746 |
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