DEERWOOD LAKE CHIROPRACTIC NPI 1295918548

NPI Information

DEERWOOD LAKE 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. DEERWOOD LAKE CHIROPRACTIC NPI is 1295918548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4540 SOUTHSIDE BLVD
STE. # 1101
JACKSONVILLE, FL
ZIP 32216-492
Phone: (904) 996-8660
Fax: (904) 996-8650

The provider's authorized official is Leah Lett .
The authorized official title is Office Manager and has the following contact phone number (904) 996-8660.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/17/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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