FIVE POINTS MEDICAL CLINIC NPI 1770636565

NPI Information

NPI: 1770636565
Provider Name: FIVE POINTS MEDICAL CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2025 PARK ST
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 388-1811
Get Directions

FIVE POINTS MEDICAL CLINIC 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. FIVE POINTS MEDICAL CLINIC NPI is 1770636565. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2025 PARK ST
JACKSONVILLE, FL
ZIP 32204-809
Phone: (904) 388-1811
Fax: (904) 387-6091

The provider's authorized official is Daniel A. Dodd .
The authorized official title is Clinic Director and has the following contact phone number (904) 388-1811.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.

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		CH0004403	FLORIDA	Yes
2	111N00000X	Chiropractor		CH0004712	FLORIDA	X
3	207LP2900X	Anesthesiology	Pain Medicine	ME0050071	FLORIDA	X
4	2083X0100X	Preventive Medicine	Occupational Medicine	ME95788	FLORIDA	X
5	225700000X	Massage Therapist		MA35203	FLORIDA	X

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	38262	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD FL

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

NPI Synchronization or Removal

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