Organization Name: | VIBRANT LIFE HEALTH CENTER LLC |
NPI Number: | 1992110654 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON CLAUDE THOMAS (DOCTOR/OWNER) |
Mailing Address: | 12627 San Jose Blvd Suite 501 Jacksonville |
State: | FL US |
Postal Code: | 322232662 |
Phone Number: | 9046828177 |
Fax Number: | 9047387483 |
NPI Enumeration Date: | 06/21/2014 |
NPI Last Update Date: | 06/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | CH11201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |