ST JOHNS MEDICAL CENTER PA NPI 1639284920

NPI Information

ST JOHNS MEDICAL CENTER PA 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. ST JOHNS MEDICAL CENTER PA NPI is 1639284920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2511 ST. JOHNS BLUFF RD. SO.
JACKSONVILLE, FL
ZIP 32246
Phone: (904) 645-7559
Fax: (904) 241-0255

The provider's authorized official is Stephen S Alexander .
The authorized official title is President and has the following contact phone number (904) 645-7559.

The CLIA number assigned to this NPI record is 10D2075854 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 6/19/2008.

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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