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

Ketamine Wellness Centers Jacksonville

Organization Pain Medicine (Anesthesiology) Physician · NPI 1063016988

Ketamine Wellness Centers Jacksonville is a Pain Medicine (Anesthesiology) Physician in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3753-2 Cardinal Point Dr
Jacksonville, FL 32257-5582
Phone: (855) 538-9355
Fax: (844) 538-9355
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1063016988
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKetamine Wellness Centers Arizona LLC
Authorized official Anita Jerger — Executive Assistant · (855) 538-9355
Other names Ketamine Wellness Centers
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address113 W Hoover Ave Ste 101, Mesa, AZ 85210-5214

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