Jacksonville Health & Wellness CNTR.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8960 Issued in FL

Legal business name

JACKSONVILLE HEALTH & WELLNESS CNTR.

Practice address

10950 San Jose Blvd Ste 14
Jacksonville, FL 32223-6671

Phone

(904) 268-6568

Fax

(904) 886-9804

NPI assigned

Nov 14, 2007

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon M Repole, D.C.NPI 1447317391

Title

Owner and Practioner

Phone

(904) 268-6568

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Michael Repole, D.C.

  • Nutrition Chiropractor
  • Jacksonville, FL
  • NPI 1447317391
  Medicare reassignment NPD Authorized official
• Adel S Bassel, M.D

  • General Practice Physician
  • Chattahoochee, FL
  • NPI 1619935541
  NPD (past)
• Timothy K Burnham, PA-C, MPAS

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1346210929
  NPD (past)
• Heather Fisse-Repole, LMHC, LMT

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1518352806
  NPD (past)
• Peter Anthony Fort, D.C

  • Chiropractor
  • Jacksonville, FL
  • NPI 1942356720
  NPD (past)
• Loubens Jean-Louis, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1164520995
  NPD (past)
• Michael R Medved, PA

  • Medical Physician Assistant
  • St Augustine, FL
  • NPI 1679690366
  NPD (past)
• Lawrence C Morris, DC

  • Chiropractor
  • Orange Park, FL
  • NPI 1952325888
  NPD (past)
• Raphael O Reyes, PA

  • Physician Assistant
  • Altamonte Springs, FL
  • NPI 1154365039
  NPD (past)
• Indrajit Verma, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Palatka, FL
  • NPI 1770583502
  NPD (past)
• Seung G Kim, D.C

  • Chiropractor
  • Macon, GA
  • NPI 1326129164
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1639350010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 SAN JOSE BLVD STE 14",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236671",
            "telephone_number": "904-268-6568",
            "fax_number": "904-886-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 SAN JOSE BLVD STE 14",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236671",
            "telephone_number": "904-268-6568",
            "fax_number": "904-886-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE HEALTH & WELLNESS CNTR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "REPOLE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER AND PRACTIONER",
        "authorized_official_telephone_number": "904-268-6568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Florida North, PLLC
• Jacksonville Foot Health Center
• Jacksonville Gentle Dentistry PLLC
• Jacksonville Group Supply Inc
• Jacksonville Hand Associates P.a. (Jacksonville Hand Associates)
• Jacksonville Health Alliance, LLC
• Jacksonville Health Clinic PA
• Jacksonville Healthcare Group Inc (National Telemedicine Providers)
• Jacksonville Hospitalists PA (Cisca Pulmonary and Critical Care)
• Jacksonville Imaging Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.