Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacksonville Wellness Center & Preventive Medicine Clinic

Organization Internal Medicine Physician · NPI 1043636822

Jacksonville Wellness Center & Preventive Medicine Clinic is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

3604 University Blvd S
Jacksonville, FL 32216-4241
Phone: (904) 563-5838
Fax: (904) 425-7889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME57227 (FL)

Record details

NPI number1043636822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Cordero — Medical Doctor · (904) 388-7968
NPI enumeratedMarch 17, 2014
Last updated in NPPESMarch 17, 2014
Mailing address2317 Blanding Blvd, Suite 2, Jacksonville, FL 32210-4194

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