Active NPI
Center for Health and Wellness
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1710404363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS668100
- Legal business name
- CENTER FOR HEALTH AND WELLNESS
- Practice address
- 3117 Spring Glen Rd Ste 407
Jacksonville, FL 32207-5906 - Phone
- (904) 476-1816
- Fax
- (904) 518-5927
- NPI assigned
- Aug 24, 2017
- Last updated
- Jul 21, 2022
- 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
- Dr. John Lawrence Simons Jr., DO
- Title
- Owner
- Phone
- (904) 476-1816
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS668100 | FL | Primary |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X |
Addresses
Primary practice location
3117 Spring Glen Rd Ste 407
Jacksonville, FL 32207-5906
Mailing address
3117 Spring Glen Rd Ste 407
Jacksonville, FL 32207-5906
Phone (904) 476-1816
National Provider Directory
National Provider DirectoryLocations
3117 Spring Glen Rd
Ste 407
Jacksonville, FL 32207
Phone (904) 476-1816
Interoperability endpoints
- https://api.platform.athenahealth.com/13955/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1710404363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 SPRING GLEN RD STE 407",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075906",
"telephone_number": "904-476-1816",
"fax_number": "904-518-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 SPRING GLEN RD STE 407",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075906",
"telephone_number": "904-476-1816",
"fax_number": "904-518-5927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SIMONS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-476-1816",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS668100",
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Brian Gerard Celso, PHD.
- Annalie Sebrio Celzo, LPC
- Brandon Centeno, ATC, LAT
- Center for a Healthy Mind and Wellbeing LLC
- Center for Aging and Rehabilitation of Jacksonville Inc (Saints Care Center)
- Center for Medicine and Psychiatry
- Center Imt Jacksonville FL, P.a. (Center IMT Jacksonville)
- Centerstone of Tennesse Inc.
- Centerwell Pharmacy, Inc. (Humana Pharmacy, Inc.)
- Centerwell Senior Primary Care FL JV PLLC (Conviva Philips Highway)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.