Koinonia Dynamisinc

Specialty details in registry · Jacksonville, FL

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At a glance

2979 Centerwood Dr, Jacksonville, FL 32218-9208

NPPES record updated May 19, 2016. Public records can lag behind changes at a practice.

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Practice location

2979 Centerwood Dr
Jacksonville, FL 32218-9208

Professional details: NPI, taxonomy & registry record

NPI1730536772

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251S00000X
Enumeration date: May 19, 2016
Record updated: May 19, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License reported: MH90 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2979 Centerwood Dr
Jacksonville, FL 32218-9208

Phone: (904) 536-4371

Mailing address

2979 CENTERWOOD DR

JACKSONVILLE, FL 322189208

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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