DR. RICHARD G PACKO DC NPI 1720057086

NPI Information

NPI: 1720057086
Provider Name: DR. RICHARD G PACKO, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
252 SOLANA RD
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 285-2243
Get Directions

DR. Richard G Packo, DC is a chiropractor in Ponte Vedra Beach, 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. DR. Richard G Packo, DC NPI is 1720057086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

252 SOLANA RD
PONTE VEDRA BEACH, FL
ZIP 32082-297
Phone: (904) 285-2243
Fax: (904) 285-9022

The enumeration date for this NPI number is 3/17/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH0006259	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55308	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	U-17369	MEDICARE UPIN	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »