Active NPI
Oakleaf Injury and Pain Center LLC
- Specialist
- Jacksonville, FL
National Provider Identifier
1609301993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- OAKLEAF INJURY AND PAIN CENTER LLC
- Practice address
- 9526 Argyle Forest Blvd
B-6
Jacksonville, FL 32222-2825 - Phone
- (772) 546-9591
- NPI assigned
- Apr 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeneane Wakula
- Title
- Office Manager
- Phone
- (772) 263-1642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
9526 Argyle Forest Blvd
B-6
Jacksonville, FL 32222-2825
Mailing address
8929 SE Bridge Rd
Hobe Sound, FL 33455-5312
Phone (772) 263-1642
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493078400000",
"number": "1609301993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8929 SE BRIDGE RD",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334555312",
"telephone_number": "772-263-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9526 ARGYLE FOREST BLVD",
"address_2": "B-6",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322222825",
"telephone_number": "772-546-9591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKLEAF INJURY AND PAIN CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A",
"authorized_official_last_name": "WAKULA",
"authorized_official_first_name": "JENEANE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "772-263-1642"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.