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FIRST COAST SPINE INC. NPI 1144625724


NPI Information

NPI: 1144625724
Provider Name: FIRST COAST SPINE, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4849 FRENCH ST STE 1
JACKSONVILLE, FL
ZIP 32205
Phone: (904) 600-3426
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FIRST COAST SPINE, INC. 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. FIRST COAST SPINE, INC. NPI is 1144625724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4849 FRENCH ST STE 1
JACKSONVILLE, FL
ZIP 32205-003
Phone: (904) 600-3426
Fax: (904) 800-1432

The provider's authorized official is Colt Mitchell Andrea .
The authorized official title is President and has the following contact phone number (904) 600-3426.

The enumeration date for this NPI number is 10/25/2014 and was last updated on 11/24/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH10319FLORIDANo
2363L00000XNurse PractitionerNo
3111N00000XChiropractorYes

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: 4/28/2024

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