Provider Type Icon

ACTIVE SPINE CARE LLC NPI 1538677133


NPI Information

NPI: 1538677133
Provider Name: ACTIVE SPINE CARE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9310 OLD KINGS RD S STE 1102
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 802-4410
Get Directions

ACTIVE SPINE CARE LLC 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. ACTIVE SPINE CARE LLC NPI is 1538677133. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9310 OLD KINGS RD S STE 1102
JACKSONVILLE, FL
ZIP 32257-196
Phone: (904) 802-4410

The provider's authorized official is Trang N Nghiem .
The authorized official title is Mgr and has the following contact phone number (904) 802-4410.

The enumeration date for this NPI number is 1/17/2018 and was last updated on 6/11/2019.


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
1111N00000XChiropractorCH12210FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.