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SOUTH MANDARIN CHIROPRACTIC AND WELLNESS INC. NPI 1487892030


NPI Information

NPI: 1487892030
Provider Name: SOUTH MANDARIN CHIROPRACTIC AND WELLNESS, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11808 SAN JOSE BLVD
STE. 2
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 880-3271
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SOUTH MANDARIN CHIROPRACTIC AND WELLNESS, 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. SOUTH MANDARIN CHIROPRACTIC AND WELLNESS, INC. NPI is 1487892030. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11808 SAN JOSE BLVD
STE. 2
JACKSONVILLE, FL
ZIP 32223-754
Phone: (904) 880-3271
Fax: (904) 880-3273

The provider's authorized official is Jacob Justin Hutzell .
The authorized official title is Owner/chiropractor and has the following contact phone number (904) 880-3271.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 4/8/2015.


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
1111N00000XChiropractorCH9481FLORIDAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16398750002MEDICARE NSCFLORIDA

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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