PORT ST. JOE CHIROPRACTIC LLC NPI 1497928121

NPI Information

PORT ST. JOE CHIROPRACTIC, LLC is a chiropractor in Summerfield, 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. PORT ST. JOE CHIROPRACTIC, LLC NPI is 1497928121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16910 S US HIGHWAY 441
SUMMERFIELD, FL
ZIP 34491-664
Phone: (850) 960-8118
Fax: (352) 347-9044

The provider's authorized official is Douglas Altman .
The authorized official title is Owner/chiropractor and has the following contact phone number (850) 960-8118.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 6/12/2014.

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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