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BEACH BOULEVARD CHIROPRACTIC NPI 1619241890


NPI Information

NPI: 1619241890
Provider Name: BEACH BOULEVARD CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11915 BEACH BLVD
SUITE 105
JACKSONVILLE, FL
ZIP 32246
Phone: (904) 683-0793
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BEACH BOULEVARD 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. BEACH BOULEVARD CHIROPRACTIC NPI is 1619241890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11915 BEACH BLVD
SUITE 105
JACKSONVILLE, FL
ZIP 32246-704
Phone: (904) 683-0793
Fax: (904) 619-4740

The provider's authorized official is Brian Daniel Winkler .
The authorized official title is Doctor / Manager and has the following contact phone number (954) 801-4465.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 6/8/2012.


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
1111N00000XChiropractorYes

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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