FULL BLOOM CHIROPRACTIC CORP NPI 1144460726

NPI Information

  • NPI: 1144460726
  • Provider Name: FULL BLOOM CHIROPRACTIC CORP
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 115 LAND GRANT ST STE 3
    ST AUGUSTINE, FL
    ZIP 32092
  • Phone: (904) 481-8552

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NPI Details

FULL BLOOM CHIROPRACTIC CORP is a chiropractor in St Augustine, 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. FULL BLOOM CHIROPRACTIC CORP NPI is 1144460726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 LAND GRANT ST STE 3
ST AUGUSTINE, FL
ZIP 32092-845
Phone: (904) 481-8552

The provider's authorized official is Ryan Gutierrez .
The authorized official title is President and has the following contact phone number (904) 481-8552.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 9/8/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1696NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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