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KETAMINE WELLNESS INSTITUTE OF JACKSONVILLE BEACH, LLC
NPI 1487471918
Pain Medicine - Interventional Pain Medicine in Jacksonville Beach, FL

Active since September 25, 2024
1361 13TH AVE S STE 140, JACKSONVILLE BEACH, FL 32250(904) 373-8153 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ketamine Wellness Institute Of Jacksonville Beach, Llc NPPES

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

KETAMINE WELLNESS INSTITUTE OF JACKSONVILLE BEACH, LLC (NPI 1487471918) is a healthcare organization registered as an interventional pain medicine in Jacksonville Beach, Florida and active in the NPI registry since September 2024. The organization lists Sathavaram Reddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1487471918
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameKETAMINE WELLNESS INSTITUTE OF JACKSONVILLE BEACH, LLC
Location Address1361 13TH AVE S STE 140Jacksonville Beach, FL 32250-3263
Mailing Address1361 13th Ave S Ste 140Jacksonville Beach, FL 32250-3263 · (904) 373-8153
Phone(904) 373-8153
Organization SubpartNo
Authorized OfficialSathavaram ReddyOwner · (904) 373-8153
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1487471918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1361 13TH AVE S STE 140, Jacksonville Beach, FL 32250
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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 2

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

RIVER CITY DERMATOLOGY PLLC
Dermatology
1361 13TH AVE S STE 140
JACKSONVILLE BEACH, FL 32250
Duval County (904) 372-8031
SIMA D AMIN MD
Dermatology
1361 13TH AVE S STE 140
JACKSONVILLE BEACH, FL 32250
Duval County (904) 372-8031

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 Institute Of Jacksonville Beach, LLC's NPI number?

The NPI number for Ketamine Wellness Institute Of Jacksonville Beach, LLC is 1487471918. It was assigned to this organization in the NPPES registry on September 25, 2024.

Where is Ketamine Wellness Institute Of Jacksonville Beach, LLC located?

Ketamine Wellness Institute Of Jacksonville Beach, LLC is located at 1361 13th Ave S Ste 140, Jacksonville Beach, FL 32250. The listed phone number is (904) 373-8153.

What is Ketamine Wellness Institute Of Jacksonville Beach, LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Ketamine Wellness Institute Of Jacksonville Beach, LLC was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.