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KETAMINE WELLNESS CENTERS JACKSONVILLE
NPI 1063016988
Anesthesiology - Pain Medicine in Jacksonville, FL

Active since November 23, 2020
3753-2 CARDINAL POINT DR, JACKSONVILLE, FL 32257(855) 538-9355(844) 538-9355 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ketamine Wellness Centers Jacksonville NPPES

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

KETAMINE WELLNESS CENTERS JACKSONVILLE (NPI 1063016988), doing business as Ketamine Wellness Centers, is a healthcare organization registered as a pain medicine in Jacksonville, Florida and active in the NPI registry since November 2020. The organization lists Anita Jerger, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1063016988
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameKETAMINE WELLNESS CENTERS JACKSONVILLE
Location Address3753-2 CARDINAL POINT DRJacksonville, FL 32257-5582
Mailing Address113 W Hoover Ave Ste 101Mesa, AZ 85210-5214 · (855) 538-9355 · Fax (844) 538-9355
Phone(855) 538-9355
Fax(844) 538-9355
Organization SubpartYesParent: Ketamine Wellness Centers Arizona Llc
Authorized OfficialAnita JergerExecutive Assistant · (855) 538-9355
Enumeration DateNovember 23, 2020
NPPES CertifiedNovember 23, 2020
✔ NPI 1063016988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
3753-2 CARDINAL POINT DR, Jacksonville, FL 32257
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Other Names 1

Doing Business AsKetamine Wellness Centers

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

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 Ketamine Wellness Centers Jacksonville's NPI number?

The NPI number for Ketamine Wellness Centers Jacksonville is 1063016988. It was assigned to this organization in the NPPES registry on November 23, 2020. The provider is doing business as Ketamine Wellness Centers.

Where is Ketamine Wellness Centers Jacksonville located?

Ketamine Wellness Centers Jacksonville is located at 3753-2 Cardinal Point Dr, Jacksonville, FL 32257. The listed phone number is (855) 538-9355.

What is Ketamine Wellness Centers Jacksonville's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Ketamine Wellness Centers Jacksonville was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.