FORT CAROLINE CLINIC OF CHIROPRACTIC NPI 1104497361

NPI Information

FORT CAROLINE CLINIC OF CHIROPRACTIC is a chiropractor in Jacksonville, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. FORT CAROLINE CLINIC OF CHIROPRACTIC NPI is 1104497361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12086 FORT CAROLINE RD STE 302
JACKSONVILLE, FL
ZIP 32225-639
Phone: (904) 902-4325

The provider's authorized official is Jeremy Brubaker .
The authorized official title is Member and has the following contact phone number (814) 590-4411.

The CLIA number assigned to this NPI record is 10D2203510 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2021 and was last updated on 8/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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