OrganizationActive
Fulton Gibbs Wellness, LLC
NPI 1780232207 · Clinic/Center · Jacksonville, FL
Fulton Gibbs Wellness, LLC is a Clinic/Center organization in Jacksonville, FL (NPI 1780232207).
Provider details
- NPI number
- 1780232207
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Bagan, President(904) 454-4937
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
8825 Perimeter Park Blvd Ste 102
Jacksonville, FL 32216-1127
Phone: (904) 454-4937
Fax: (904) 293-1325
Street-level locationGet directions
Mailing address
731 Duval Station Rd Ste 107-204
Jacksonville, FL 32218-0800
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Frequently asked questions
- What is Fulton Gibbs Wellness, LLC's NPI number?
- Fulton Gibbs Wellness, LLC's National Provider Identifier (NPI) is 1780232207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fulton Gibbs Wellness, LLC?
- Fulton Gibbs Wellness, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fulton Gibbs Wellness, LLC located?
- Fulton Gibbs Wellness, LLC's practice location on file with NPPES is 8825 Perimeter Park Blvd Ste 102, Jacksonville, FL 32216-1127.
- What is Fulton Gibbs Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fulton Gibbs Wellness, LLC is (904) 454-4937.
- Who is the authorized official for Fulton Gibbs Wellness, LLC?
- The authorized official listed on Fulton Gibbs Wellness, LLC's NPPES record is Elizabeth Bagan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fulton Gibbs Wellness, LLC's NPI active?
- Yes — Fulton Gibbs Wellness, LLC's NPI (1780232207) is active in the NPPES registry as of the last update on 2019-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.