Ketamine Wellness Institute of Jacksonville Beach, LLC
Ketamine Wellness Institute of Jacksonville Beach, LLC is an Interventional Pain Medicine Physician in Jacksonville Beach, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1361 13th Ave S Ste 140Jacksonville Beach, FL 32250-3263
Phone: (904) 373-8153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X |
|---|
Record details
| NPI number | 1487471918 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sathavaram Reddy — Owner · (904) 373-8153 |
| NPI enumerated | September 25, 2024 |
| Last updated in NPPES | September 25, 2024 |
| Certification date | September 25, 2024 |
| Mailing address | 1361 13th Ave S Ste 140, Jacksonville Beach, FL 32250-3263 |
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