Organization Active NPI

Natural Medicine and Wellness Center of Jacksonville, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1760438121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
HCC6915 Issued in FL
Legal business name
NATURAL MEDICINE AND WELLNESS CENTER OF JACKSONVILLE, INC.
Practice address
4237 Salisbury Road North
Suite 110
Jacksonville, FL 32216
Phone
(904) 296-1116
Fax
(904) 296-1467
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alfonso M Bremer, M.D.
Title
Medical Director
Phone
(904) 296-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X HCC6915 FL Primary

Addresses

Primary practice location

4237 Salisbury Road North
Suite 110
Jacksonville, FL 32216

Mailing address

4237 Salisbury Road North
Suite 110
Jacksonville, FL 32216
Phone (904) 296-1116

National Provider Directory

National Provider Directory

Locations

4237 Salisbury Rd
Ste 110
Jacksonville, FL 32216
Phone (904) 296-1116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760438121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY ROAD NORTH",
            "address_2": "SUITE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-296-1116",
            "fax_number": "904-296-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY ROAD NORTH",
            "address_2": "SUITE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-296-1116",
            "fax_number": "904-296-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL MEDICINE AND WELLNESS CENTER OF JACKSONVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREMER",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-296-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "HCC6915",
            "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 Aug 22, 2020; 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.