OAKLEAF INJURY AND PAIN CENTER LLC


Address: 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825
Phone: 7725469591

OAKLEAF INJURY AND PAIN CENTER LLC (NPI# 1609301993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609301993
Entity Type Organization
Organization Name OAKLEAF INJURY AND PAIN CENTER LLC
Practice Address 9526 Argyle Forest Blvd
B-6
Jacksonville
FL 32222-2825
Mailing Address 8929 Se Bridge Rd
Hobe Sound
FL 33455-5312
Practice Telephone 7725469591
Mailing Telephone 7722631642
Enumeration Date 2017-04-25
Last Update Date 2017-04-25
Authorized Official Name JENEANE WAKULA (OFFICE MANAGER)
Authorized Official Telephone 7722631642
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 9526 ARGYLE FOREST BLVD
B-6
City JACKSONVILLE
State FL
Zip Code 32222-2825

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1437620986 Nicole Azaan Specialist 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 2018-12-10
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1093236531 Leah F Friedman Specialist 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 2017-07-06
1982070140 Riverside Spine & Pain Physicians, LLC Specialist 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 2015-08-11
1235525239 Elizabeth Wehr Specialist 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 2015-04-07
1053705236 Orthowilmington, Pa Specialist 3382 Henderson Dr, Jacksonville, NC 28546-5230 2015-03-25
1295156941 Southeast Orthopedic Specialists, Inc. Specialist 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 2013-12-26
1750627725 Scott A Entsminger Specialist 13947 Beach Blvd Ste 109, Jacksonville, FL 32224-1201 2012-12-20
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Competitor

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City JACKSONVILLE
Zip Code 32222

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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