| |
8773 Perimeter Park Ct., Jacksonville,, FL 32216-1165 | |
(904) 724-5433 | |
(904) 724-9671 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 8773 Perimeter Park Ct., Jacksonville,, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902983166 | NPI | - | NPPES |
38365 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
111N00000X | Chiropractor | CH1273 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
8773 Perimeter Park Ct., Jacksonville,, FL 32216-1165 Ph: (904) 724-5433 | 8773 Perimeter Park Ct., Jacksonville,, FL 32216-1165 Ph: (904) 724-5433 |