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

Southbrdge Health and Wellness LLC

Organization Case Management Agency · NPI 1043089998

Southbrdge Health and Wellness LLC is a Case Management Agency in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

476 Riverside Ave # 1905
Jacksonville, FL 32202-4912
Phone: (904) 800-9220
Fax: (904) 674-1843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Clinic/Center Taxonomy 261Q00000X
Infusion Therapy Clinic/Center Taxonomy 261QI0500X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1043089998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dora Agyemang — Owner · (912) 800-9220
NPI enumeratedDecember 20, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 19, 2023
Mailing address851 Southbridge Blvd, Savannah, GA 31405-1096

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