| Beach Boulevard Chiropractic | |
|
11915 Beach Blvd, Suite 105, Jacksonville, FL 32246-6704 | |
| (904) 683-0793 | |
| (904) 619-4740 |
| Full Name | Beach Boulevard Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11915 Beach Blvd, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619241890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Brian D Winkler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568649952 PECOS PAC ID: 5799932752 Enrollment ID: I20120827000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Boulevard Chiropractic 11915 Beach Blvd, Suite 105, Jacksonville, FL 32246-6704 Ph: (904) 683-0793 | Beach Boulevard Chiropractic 11915 Beach Blvd, Suite 105, Jacksonville, FL 32246-6704 Ph: (904) 683-0793 |
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