Bodywonder, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME108088 Issued in FL

Legal business name

BODYWONDER, INC.

Practice address

10161 Centurion Pkwy N
Ste 160
Jacksonville, FL 32256-0530

Phone

(877) 341-8076

NPI assigned

Nov 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jo Ann Holoka, MD

Title

Director

Phone

(877) 341-8076

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Jacksonville Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1316248586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 CENTURION PKWY N",
            "address_2": "STE 160",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560530",
            "telephone_number": "877-341-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 CENTURION PKWY N",
            "address_2": "STE 160",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560530",
            "telephone_number": "877-341-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWONDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "HOLOKA",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-341-8076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME108088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Bodin, IBCLC
• George Rico Bodin, LMHC
• Cayla Bodner, DPT
• Aleena Bodoe, DMFT
• Body Balance MD
• Kaela Boe, MSN APRN FNP-BC
• Elizabeth Boehling
• Martha Louise Boehm, M.ED, BCBA
• Alison Boehnke, BS
• Lynsie Ann Boelsche, BCBA

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.