Suwannee Oaks Medical Primary And Wellness Clinic

LBN: 5Jaghealth, Pllc
Suwannee Oaks Medical Primary And Wellness Clinic is an health care organization with primary practice located at 112 Irvin Ave Sw , Live Oak FL 32064-2214. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. 5Jaghealth, Pllc can be contacted via phone (386) 647-6144, or through Wilson, Aymee via phone (386) 330-6380.

Contact Information

Primary practice address
112 Irvin Ave Sw Live Oak FL 32064-2214
Phone: (386) 647-6144
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Aymee Advanced Practice Registered Nurse (APRN)
Phone: (386) 330-6380

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1407636582
LBN Legal business name 5Jaghealth, Pllc
DBA Doing business as Suwannee Oaks Medical Primary And Wellness Clinic
Authorized official Wilson, Aymee Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2023
Last updated Feb 8th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers