Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketamine Wellness Centers Jacksonville

Organization Pain Medicine (Anesthesiology) Physician · NPI 1063016988

Ketamine Wellness Centers Jacksonville provides Pain Medicine (Anesthesiology) Physician services in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3753-2 Cardinal Point Dr
Jacksonville, FL 32257-5582
Phone: (855) 538-9355
Fax: (844) 538-9355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1063016988
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKetamine Wellness Centers Arizona LLC
Authorized official Anita Jerger — Executive Assistant · (855) 538-9355
Other names Ketamine Wellness Centers
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address113 W Hoover Ave Ste 101, Mesa, AZ 85210-5214

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