AMRON VITALITY AND WELLNESS CENTER, LLC (NPI# 1619527157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619527157 |
| Entity Type | Organization |
| Organization Name | AMRON VITALITY AND WELLNESS CENTER, LLC |
| Practice Address |
6339 Argyle Forest Blvd Ste 3 Jacksonville FL 32244-6601 |
| Practice Telephone | 9048027048 |
| Practice Fax Number | 9048027068 |
| Mailing Telephone | 9048027048 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | DIANA M CORDERO (OWNER) |
| Authorized Official Telephone | 9048027048 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER | 10185B | 01 |
| Street Address |
6339 ARGYLE FOREST BLVD STE 3 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225577760 | Cleanslate Medical Group of Florida, Pllc | Internal Medicine | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2017-02-16 |
| 1992102891 | Nfam Physician Group | Internal Medicine | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685411 | Mark Schellhammer LLC | Internal Medicine | 7151 University Blvd Ste 120, Winter Park, FL 32792-6724 | 2020-03-27 |
| 1952769754 | R N Singh Enterprises Pllc | Internal Medicine | 11760 Lynmoor Dr, Riverview, FL 33579-7037 | 2016-02-08 |
| 1518360726 | Family Health Care of Delray, Inc. | Internal Medicine | 7100 S Military Trl, Suite 7126, Lake Worth, FL 33463-7812 | 2014-10-01 |
| 1184043119 | Desert Rose Fl LLC | Internal Medicine | 835 Ardmore Rd, West Palm Beach, FL 33401-7631 | 2014-04-07 |
| 1265851299 | Clear Health of The Palm Beaches | Internal Medicine | 1095 Military Trl Unit 91, Jupiter, FL 33468-5005 | 2014-04-07 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1396182630 | Harp Diagnostics LLC | Internal Medicine | 2655 N Ocean Dr, 103, Riviera Beach, FL 33404-4751 | 2013-05-28 |
| 1861717514 | Fanuel Dorilas | Internal Medicine | 1229 Nw 40th Ave, Lauderhill, FL 33313-5801 | 2010-04-06 |
| 1083846034 | Carol S. Rudolph | Internal Medicine | 4949 S Congress Ave Ste B, Lake Worth, FL 33461-4731 | 2009-08-10 |
| 1730372178 | Michael P Strolla | Internal Medicine | 2214 A Henry Ave, Tampa, FL 33610 | 2007-08-20 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32244 |
Please comment or provide details below to improve the information on AMRON VITALITY AND WELLNESS CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.