Marshall Establishment Pllc | |
3980 Southside Blvd Ste 108, Jacksonville, FL 32216-6612 | |
(904) 436-1106 | |
Not Available |
Full Name | Marshall Establishment Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 3980 Southside Blvd Ste 108, 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 |
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1790563997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | James Howard Marshall |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033598701 PECOS PAC ID: 1759719701 Enrollment ID: I20200325001545 |
Provider Name | Nicole Marshall |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275311474 PECOS PAC ID: 9436509163 Enrollment ID: I20231221001501 |
Mailing Address | Practice Location Address |
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Marshall Establishment Pllc 3980 Southside Blvd Ste 108, Jacksonville, FL 32216-6612 Ph: (904) 436-1106 | Marshall Establishment Pllc 3980 Southside Blvd Ste 108, Jacksonville, FL 32216-6612 Ph: (904) 436-1106 |
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