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JACKSONVILLE WELLNESS CENTER & PREVENTIVE MEDICINE CLINIC
NPI 1043636822
Internal Medicine in Jacksonville, FL

Active since March 17, 2014
3604 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 563-5838(904) 425-7889 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Wellness Center & Preventive Medicine Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE WELLNESS CENTER & PREVENTIVE MEDICINE CLINIC (NPI 1043636822) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since March 2014. The organization lists Diana M Cordero, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1043636822
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACKSONVILLE WELLNESS CENTER & PREVENTIVE MEDICINE CLINIC
Location Address3604 UNIVERSITY BLVD SJacksonville, FL 32216-4241
Mailing Address2317 Blanding Blvd, Suite 2Jacksonville, FL 32210-4194 · (904) 388-7968 · Fax (904) 425-7889
Phone(904) 563-5838
Fax(904) 425-7889
Organization SubpartNo
Authorized OfficialDiana M CorderoMedical Doctor · (904) 388-7968
Enumeration DateMarch 17, 2014
✔ NPI 1043636822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME57227
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3604 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA HOME CARE ENTERPRISES INC
Home Health
3604 UNIVERSITY BLVD S, SUITE 1
JACKSONVILLE, FL 32216
Duval County (904) 636-0042
MR. RAJENDRA P WARDE RPH
Pharmacist
3604 UNIVERSITY BLVD S, SUITE 102
JACKSONVILLE, FL 32216
Duval County (904) 813-7634
DMC WELLNESS
Internal Medicine
3604 UNIVERSITY BLVD S, SUITE 203
JACKSONVILLE, FL 32216
Duval County (904) 479-3432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacksonville Wellness Center & Preventive Medicine Clinic's NPI number?

The NPI number for Jacksonville Wellness Center & Preventive Medicine Clinic is 1043636822. It was assigned to this organization in the NPPES registry on March 17, 2014.

Where is Jacksonville Wellness Center & Preventive Medicine Clinic located?

Jacksonville Wellness Center & Preventive Medicine Clinic is located at 3604 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 563-5838.

What is Jacksonville Wellness Center & Preventive Medicine Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Wellness Center & Preventive Medicine Clinic was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.