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FULTON GIBBS WELLNESS, LLC
NPI 1780232207
Clinic/Center in Jacksonville, FL

Active since August 28, 2019
8825 PERIMETER PARK BLVD STE 102, JACKSONVILLE, FL 32216(904) 454-4937(904) 293-1325 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Fulton Gibbs Wellness, Llc NPPES

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

FULTON GIBBS WELLNESS, LLC (NPI 1780232207) is a healthcare organization registered as a clinic/center in Jacksonville, Florida and active in the NPI registry since August 2019. The organization lists Elizabeth G Bagan, President, as its authorized official.

NPPES Registry Identity

NPI1780232207
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFULTON GIBBS WELLNESS, LLC
Location Address8825 PERIMETER PARK BLVD STE 102Jacksonville, FL 32216-1127
Mailing Address731 Duval Station Rd Ste 107-204Jacksonville, FL 32218-0800 · (904) 454-4937 · Fax (904) 293-1325
Phone(904) 454-4937
Fax(904) 293-1325
Organization SubpartNo
Authorized OfficialElizabeth G BaganPresident · (904) 454-4937
Enumeration DateAugust 28, 2019
✔ NPI 1780232207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8825 PERIMETER PARK BLVD STE 102, Jacksonville, FL 32216
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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.

ELIZABETH G. BAGAN ARNP, NP-C, ENP-C
Nurse Practitioner (Family)
8825 PERIMETER PARK BLVD STE 102
JACKSONVILLE, FL 32216
Duval County (904) 454-4937
LOWRY CHIROPRACTIC, LLC
Chiropractor
8825 PERIMETER PARK BLVD STE 102
JACKSONVILLE, FL 32216
Duval County (904) 497-0823

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 Fulton Gibbs Wellness, LLC's NPI number?

The NPI number for Fulton Gibbs Wellness, LLC is 1780232207. It was assigned to this organization in the NPPES registry on August 28, 2019.

Where is Fulton Gibbs Wellness, LLC located?

Fulton Gibbs Wellness, LLC is located at 8825 Perimeter Park Blvd Ste 102, Jacksonville, FL 32216. The listed phone number is (904) 454-4937.

What is Fulton Gibbs Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fulton Gibbs Wellness, LLC was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.