Provider Demographics
NPI:1114166030
Name:HEALTH POINTE JACKSONVILLE, LLC
Entity Type:Organization
Organization Name:HEALTH POINTE JACKSONVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:AP, DOM, LMT
Authorized Official - Phone:904-448-0046
Mailing Address - Street 1:3840 BELFORT RD
Mailing Address - Street 2:305
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-8207
Mailing Address - Country:US
Mailing Address - Phone:904-448-0046
Mailing Address - Fax:904-448-0056
Practice Address - Street 1:3840 BELFORT RD
Practice Address - Street 2:305
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8207
Practice Address - Country:US
Practice Address - Phone:904-448-0046
Practice Address - Fax:904-448-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2591171100000X
FLMA52646173C00000X
FLMA168872081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty