Mental South Wellness PA
NPI #1255799896 in Saint Johns, Florida
Provider Information
- NPI Number
- 1255799896
- Entity Type
- Organization
- Organization Name
- Mental South Wellness PA
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 9, 2016
- Last Updated
- Feb 9, 2016
Practice Location
- Address
- 125 EDGEWATER BRANCH DR
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-4417
- Phone
- (904) 494-8277
Authorized Official
- Name
- DR. JONATHAN CARVAJAL, M.D
- Title
- PHYSICIAN
- Phone
- (904) 494-8277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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