NPI
5jaghealth, PLLC
Doing business as Suwannee Oaks Medical Primary and Wellness Clinic. NPI 1407636582
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2023-10-04
- Last updated
- 2024-02-08
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 112 Irvin Ave SW
- City
- Live Oak FL
- Postal code
- 32064-2214
- Phone
- (386) 647-6144
Organization contact
- Name
- Aymee Wilson
- Title
- owner
- Phone
- (386) 330-6380
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Live Oak, FL. 351 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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