Total Health Clinic Llc | |
13770 Beach Blvd Ste 4, Jacksonville, FL 32224-7227 | |
(904) 619-2703 | |
(904) 619-2837 |
Full Name | Total Health Clinic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 13770 Beach Blvd Ste 4, 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 |
---|---|---|---|
1023347093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH9264 (Florida) | Secondary |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jeremiah W Carlson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699787010 PECOS PAC ID: 9436253804 Enrollment ID: I20080411000457 |
Provider Name | Cody Allen Muren |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013416163 PECOS PAC ID: 0143647883 Enrollment ID: I20200826003291 |
Provider Name | Chelsea Leigh Bullard |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003492638 PECOS PAC ID: 5698174688 Enrollment ID: I20210525000068 |
Mailing Address | Practice Location Address |
---|---|
Total Health Clinic Llc 13770 Beach Blvd Ste 4, Jacksonville, FL 32224-7227 Ph: (904) 619-2703 | Total Health Clinic Llc 13770 Beach Blvd Ste 4, Jacksonville, FL 32224-7227 Ph: (904) 619-2703 |
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