Jackson Reef
Jackson Reef is a Health Service Clinic/Center in Ormond Beach, Florida. Works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
495 S Nova Rd Ste 101AOrmond Beach, FL 32174-8444
Phone: (386) 487-4673
Fax: (855) 829-5770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 851 Dunlawton Ave Ste 103, Port Orange, FL 32127-4234 — (386) 487-4673
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1396398608 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Self — Owner · (386) 487-4673 |
| Other names | Life Is Ketaful |
| NPI enumerated | July 17, 2019 |
| Last updated in NPPES | August 7, 2020 |
| Certification date | August 7, 2020 |
| Mailing address | 495 S Nova Rd Ste 101a, Ormond Beach, FL 32174-8444 |
Other providers in Ormond Beach
-
Blacksheep Medical
1425 Hand Ave Ste L, Ormond Beach, FL 32174-1135 · (386) 256-3977