OrganizationActive
Jacksonville Wellness Center & Preventive Medicine Clinic
NPI 1043636822 · Internal Medicine Physician · Jacksonville, FL
Provider details
- NPI number
- 1043636822
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Cordero, Medical Doctor(904) 388-7968
- License
- ME57227 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3604 University Blvd S
Jacksonville, FL 32216-4241
Phone: (904) 563-5838
Fax: (904) 425-7889
Street-level locationGet directions
Mailing address
2317 Blanding Blvd
Jacksonville, FL 32210-4194
Registry dates
- Enumerated
- 2014-03-17
- Last updated
- 2014-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.