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JAX SPINE & REHAB PLLC NPI 1346594322


NPI Information

NPI: 1346594322
Provider Name: JAX SPINE & REHAB PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
13475 ATLANTIC BLVD STE 28
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 333-6164
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JAX SPINE & REHAB PLLC 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. JAX SPINE & REHAB PLLC NPI is 1346594322. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13475 ATLANTIC BLVD STE 28
JACKSONVILLE, FL
ZIP 32225-290
Phone: (904) 333-6164

The provider's authorized official is Richard Adam Crosby .
The authorized official title is Ceo and has the following contact phone number (904) 333-6164.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.


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
1111N00000XChiropractorCH9780FLORIDAYes

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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