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ACTIVE CHIROPRACTIC WELLNESS CENTER LLC NPI 1982850830


NPI Information

NPI: 1982850830
Provider Name: ACTIVE CHIROPRACTIC WELLNESS CENTER, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2570 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 398-4860
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ACTIVE CHIROPRACTIC WELLNESS CENTER, LLC 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. ACTIVE CHIROPRACTIC WELLNESS CENTER, LLC NPI is 1982850830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2570 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32207-604
Phone: (904) 398-4860
Fax: (904) 398-1785

The provider's authorized official is Christopher Brian Renne .
The authorized official title is Owner and has the following contact phone number (904) 398-4860.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 12/16/2019.


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
1111N00000XChiropractorCH7715FLORIDAYes

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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