TENDER CHIROPRACTIC HEALTH CENTER PA NPI 1720064520

NPI Information

NPI: 1720064520
Provider Name: TENDER CHIROPRACTIC HEALTH CENTER PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
219 NORTH 11TH AVE
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 247-0058
Get Directions

TENDER CHIROPRACTIC HEALTH CENTER PA is a chiropractor in Jacksonville 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. TENDER CHIROPRACTIC HEALTH CENTER PA NPI is 1720064520. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

219 NORTH 11TH AVE
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 247-0058
Fax: (904) 242-9779

The provider's authorized official is John G Tender .
The authorized official title is Chiropractor and has the following contact phone number (904) 247-0058.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 10/22/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH7782	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
1	U91723	MEDICARE UPIN
2	70207	MEDICARE ID-TYPE UNSPECIFIED
3	280005500	MEDICAID	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

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