Ketamine Wellness Centers Jacksonville
NPI 1063016988 · Pain Medicine (Anesthesiology) Physician · Jacksonville, FL
Ketamine Wellness Centers Jacksonville is a Pain Medicine (Anesthesiology) Physician organization in Jacksonville, FL (NPI 1063016988).
Provider details
- NPI number
- 1063016988
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ketamine Wellness Centers Arizona LLC
- Organization subpart
- Yes
- Authorized official
- Anita Jerger, Executive Assistant(855) 538-9355
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Other names (DBA / former)
- Doing business as
- Ketamine Wellness Centers
Registry dates
- Enumerated
- 2020-11-23
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Frequently asked questions
- What is Ketamine Wellness Centers Jacksonville's NPI number?
- Ketamine Wellness Centers Jacksonville's National Provider Identifier (NPI) is 1063016988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Wellness Centers Jacksonville?
- Ketamine Wellness Centers Jacksonville is classified in the NPPES registry as Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Ketamine Wellness Centers Jacksonville located?
- Ketamine Wellness Centers Jacksonville's practice location on file with NPPES is 3753-2 Cardinal Point Dr, Jacksonville, FL 32257-5582.
- What is Ketamine Wellness Centers Jacksonville's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Wellness Centers Jacksonville is (855) 538-9355.
- Who is the authorized official for Ketamine Wellness Centers Jacksonville?
- The authorized official listed on Ketamine Wellness Centers Jacksonville's NPPES record is Anita Jerger, Executive Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Wellness Centers Jacksonville's NPI active?
- Yes — Ketamine Wellness Centers Jacksonville's NPI (1063016988) is active in the NPPES registry as of the last update on 2020-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.